TSC: Tobacco Use Screening and Cessation Intervention
Rate 1: tobacco use screening. Rate 2: cessation intervention for tobacco users.
Measure description
Rate 1: tobacco use screening. Rate 2: cessation intervention for tobacco users.
Eligible population
All adults
Performance drivers
USPSTF Grade A.
Documentation & PA strategy
Document tobacco status + cessation counseling (G0436/G0437) + Rx (varenicline, NRT, bupropion).
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 TSC measure?
Rate 1: tobacco use screening. Rate 2: cessation intervention for tobacco users.
What drives performance on this measure?
USPSTF Grade A.
How should clinicians document for this measure?
Document tobacco status + cessation counseling (G0436/G0437) + Rx (varenicline, NRT, bupropion).
What is the eligible population?
All adults
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