PART OF STANDARD OF CARE FOR COLORECTAL CANCER (CRC) SCREENING

  • US Preventive Services Task Force (USPSTF)1
  • American Cancer Society (ACS)2
  • National Comprehensive Cancer Network® (NCCN®)3
  • American College of Obstetricians and Gynecologists® (ACOG®)4
  • Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)5
  • Medicare Advantage Stars Rating Program6
  • Electronic Clinical Quality Measures (eCQM)7
  • Health Resources and Services Administration Uniform Data Set (UDS)8

Healthcare Effectiveness Data and Information Set (HEDIS)®*9

The National Committee for Quality Assurance (NCQA) includes Cologuard within its HEDIS®* quality measures with 3 years of credit9

*Stool DNA (i.e. Cologuard) is one of the methods permitted as part of NCQA’s HEDIS® quality measures for colon cancer screening. Third party guidelines and quality measures do not specifically “endorse” commercial products, and inclusion in same does not imply otherwise.

REFERENCES 1. Bibbins-Domingo K, Grossman DC, Curry SJ, et al; for US Preventive Services Task Force. Screening for colorectal cancer: US Preventive Services Task Force recommendation statement. JAMA. 2016;315(23):2564-2575. 2. Wolf A, Fontham E, Church T, et al. Colorectal Cancer Screening for Average-Risk Adults: 2018 Guideline Update From the American Cancer Society. Ca Cancer J Clin. 2018;68:250–281. 3. National Comprehensive Cancer Network. Colorectal Cancer Screening (Version 2.2019). https://www.cancer.org/cancer/colon-rectal-cancer/detection-diagnosis-staging/survival-rates.html. Accessed October 28, 2019. 4. Well-woman recommendations: ages 40–64 years: laboratory and other tests—ACOG. American College of Obstetricians and Gynecologists website. https://www.acog.org/About-ACOG/ACOG-Departments/Annual-Womens-Health-Care/Well-Woman-Recommendations/Laboratory-Testing- Ages-40-64-Years. Accessed May 22, 2019. 5. Decision Memo for Screening for Colorectal Cancer - Stool DNA Testing (CAG-00440N). Centers for Medicare & Medicaid Services website. https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=277 Updated October 9, 2014. Accessed October 28, 2019. 6. Announcement of Calendar Year (CY) 2019 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter. Centers for Medicare & Medicaid Services website. https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Announcement2019.pdf. Updated April 2, 2018. Accessed October 28, 2019. 7. Colorectal cancer screening. Electronic Clinical Quality Improvement Resource Center websites. https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS130v8.html. Updated May 9, 2019. Accessed October 28, 2019. 8. Uniform Data System Reporting Instructions for 2018 Health Center Data. Health Resources and Services Administration website. https://bphc.hrsa.gov/datareporting/reporting/2018-uds-reporting-manual.pdf. Updated June 1, 2018. Accessed October 28, 2018. 9. Healthcare Effectiveness Data and Information Set (HEDIS®) 2017 Volume 2 Technical Update. National Committee for Quality Assurance website. https://www.ncqa.org/wp-content/uploads/2018/07/20171003_-HEDIS_2017_Volume_2_Technical_Specifications_Update.pdf. Updated October 3, 2016. Accessed October 28, 2019.