HEDIS Audit Support and Consulting Services

 

A HEALTHCARE TEAM BUILT ON QUALITY AND RESULTS

HealthSpective Health Plan Solutions are focused on assisting healthcare organizations with data optimization for performance assessment and regulatory compliance reporting using industry standard metrics.

To do so, HealthSpective has developed a team dedicated to meeting the needs of these healthcare organizations that are required to report rates by the state, federal government (the Centers for Medicaid and Medicare Services) and other vendors.

 

DATA OPTIMIZATION AND THE HEDIS AUDITING PROCESS

HealthSpective has provided HEDIS-related services since 1997, and for nearly 20 years, our reporting practice has never stopped evolving as we’ve adopted the latest technological insights to optimize our core service. The HealthSpective team understands the HEDIS auditing process from all angles, as it’s comprised of professionals with experience from the client, vendor and auditor side of the business.

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HEDIS audit consulting services USA

The HealthSpective HEDIS team believes in a hands-on approach to HEDIS reporting and consulting services that are cost-effective, save time, and produce higher HEDIS scores as well as better compliance for clients.

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HealthSpective HEDIS solutions are customized to suit the specific needs of each client. Typically, these solution packages include one or more of the following HealthSpective HEDIS Consulting and audit support services and assist clients in achieving ongoing HEDIS compliance:

• HEDIS medical record training and proficiency testing

• Compilation of the Roadmap

• Project management and liaison with the auditor

• HEDIS Audit preparation and mock audits

• HEDIS rate analysis, consulting, benchmarking and consulting for rate improvements

• Quality improvements interventions design and assessment

 

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)