HEDIS®

 
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HEDIS is an acronym for Healthcare Effectiveness Data and Information Set, which consists of over 70 measures, developed by the National Committee for Quality Assurance (NCQA) to evaluate the quality of healthcare services provided by payers and providers to over 191 million Americans.

HEDIS measures are reported by commercial, Medicare, and Medicaid health plans. To comply with public reporting requirements, health plans must undergo an annual audit, conducted by an NCQA Certified HEDIS Compliance Auditor (CHCA) working under the guidance of a licensed audit organization.

Indicina ensures full compliance with state and federal regulatory requirements for HEDIS measures reporting. In addition, through collaborations with clients, we leverage exceptional strategic management skills with in-depth knowledge of health plan operations and health information systems and standards to increase the cost-effectiveness of clinical quality and population health interventions and metrics reporting.

The Samplifier web application is a simple and quick way to validate HEDIS® hybrid measure sample size reductions for MY2023 by uploading MY2022 post-IDSS output XML data files to an secure OAuth2 web server. You can use your Google or Microsoft email accounts for OIDC. Try it out!!

 

Our firm has worked with Michael for over 20 years! His nationally recognized HEDIS expertise and commitment to his clients makes him one of the most sought after auditors in the industry.

Paul Ackroyd President, HealthcareData Company