FPM: Flu Vaccinations for Adults Ages 18-64 and 65+
Percentage with influenza vaccine during flu season.
Measure description
Percentage with influenza vaccine during flu season.
Eligible population
All adults
Performance drivers
Star measure + CMS quality.
Documentation & PA strategy
Annual influenza at fall visit. Pneumococcal in 65+ separately.
Why HEDIS matters for prior authorization
Health plans align prior authorization criteria with HEDIS measures: documenting your patient meets the HEDIS definition often streamlines or eliminates PA hurdles. For Medicare Advantage in particular, plans are heavily incentivized via Star Ratings to push members and providers toward measure compliance, which translates into faster approvals for measure-aligned services.
Frequently asked questions
What does HEDIS measure FPM measure?
Percentage with influenza vaccine during flu season.
What drives performance on this measure?
Star measure + CMS quality.
How should clinicians document for this measure?
Annual influenza at fall visit. Pneumococcal in 65+ separately.
What is the eligible population?
All adults
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