Solutions for precise HEDIS abstraction and submission
The Healthcare Effectiveness Data Information Set (HEDIS), developed by the National Committee on Quality Assurance (NCQA), is a method for evaluating the success of health plans based on the quality of the treatment and services offered to their members. About 90% of the managed care health plans in the United States use HEDIS.
HEDIS data comes from three sources:
- Administrative Data
- Hybrid Data
- Survey Data
The HEDIS measures are divided into six “domains of care”:
- Effectiveness of Care
- Access/Availability of Care
- Experience of Care
- Utilization and Relative Resource Use
- Health Plan Descriptive Information
- Measures Collected Using Electronic Clinical Data Systems
HEDIS abstraction from the collected data is done by our experienced clinical staff in compliance with the latest NCQA guidelines. We will review the services specific to each HEDIS measure, including history, lab results, problem list, specialist consultations, and chart notes for a specific period. We also help you monitor, follow and enhance HEDIS compliance and simplify the process of NCQA submission to boost health plan ranking. Our skilled team at Annexmed can handle your temporary HEDIS abstraction work effectively and efficiently to meet the submission deadline.
HEDIS Capabilities include:
- AAPC or AHIMA Certified Coders
- High-Quality data abstraction
- HIPAA compliant service
- Customized HEDIS reports
- Improving health plan ranking
- Increasing health plan visibility
- Providing quality care to members
- Care Gap Management
Achieve Measurable, Proven Results
Reduction in DNFB accounts
Reduction in AR
Decrease in denial rate
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