2024 HEDIS and QRS Quick Reference Guide for Collaborative Accountable Care program

May 1, 2024

To support the Healthcare Effectiveness Data and Information Set (HEDIS®),* we request data each year from provider groups (“Groups”) that participate in one of the following Cigna Collaborative Accountable Care (CAC) programs:

  • CAC Total Medical Cost
  • CAC Enhanced Focus

Now available

The HEDIS and Quality Rating System (QRS) Quick Reference Guide (QRG) is now available to support Groups in their efforts to collect HEDIS and QRS measures for the 2024 measurement year.

What’s in the QRG?

The QRG outlines:

  • The billing code glossary.
  • Benefits of Current Procedural Terminology Category II (CPT® II) codes.
  • Benefits of International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes.
  • Tips and best practices for medical record documentation to close gaps in care and improve quality outcomes.

We encourage you to utilize the QRG to reduce the amount of medical records that Cigna Healthcare requests, as well as to help maintain or achieve better HEDIS scores.


Please contact your local Cigna Healthcare contracting representative or email CollaborativeCareOps@Cigna.com.**

*HEDIS is a registered trademark of the national Committee for Quality Assurance (NCQA).

**This mailbox is only for groups that participate in a CAC program and only to inquire about HEDIS. It is not intended for medical record or roster submissions.

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