Behavioral Health HEDIS Tip Sheets: FUA and FUM

We’ve added two additional behavioral health tip sheets to help you satisfy Healthcare Effectiveness Data and Information Set (HEDIS) measures and code claims appropriately:

• Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA)
  This measure evaluates members 13 years old and older who had an emergency department (ED) visit with the principal diagnosis of alcohol and other drug (AOD) abuse or dependence. It evaluates the percentage of members who had follow-up visits within 7 and 30 days of the ED visit.
• Follow-Up After Emergency Department Visit for Mental Illness (FUM)
  This measure evaluates members 6 years old and older who had an ED visit for mental illness. It evaluates the percentage of members who had follow-up visits within 7 and 30 days of the ED visit.

These measures from the National Committee for Quality Assurance (NCQA) serve as a quality improvement tool to help ensure our members receive appropriate care.

The tip sheets include measurement requirements, medical record best practices and billing codes.