NCQA HEDIS® Compliance Auditing
HEDIS® COMPLIANCE AUDIT PROGRAM.
The only team perfectly equipped to help yours.
Since 1999, we’ve been trusted leaders in the HEDIS® community, delivering quality audits that minimize administrative burdens on your plan. We’re licensed by The National Committee for Quality Assurance (NCQA) and are scheduling NCQA HEDIS® Compliance Audit services for the upcoming cycle. Schedule a consultation today to learn more.
Everything You Need To Know.
Our 6 Steps to Complete Compliance
We've Got Your Back.
HEDIS® Audit Process Cycle
Incorporate the NCQA October Update to your Technical Specifications.
Join us each fall for our annual client meeting.
Start of Audit Cycle
Kick off the audit cycle and schedule your on-site date.
Survey Sample Frames and Roadmap Submission
Produce and validate survey submissions and submit Roadmaps.
Get the most out of your reporting experience. Top plans leverage supplemental data to document care delivered to members outside of claims and encounter data. It is important to work with your auditor to properly document supplemental data for HEDIS compliance. Work with our audit teams to ensure a true representation of your plan’s results.
Supplemental Data Validation
Work with your audit team to approve supplemental data.
Preliminary Rate Review
Medical Record Review Validation
Submit Final Data
Finalize and submit locked data to NCQA.
Keep Momentum Going
Hear it from the source.
What Our Clients Are Saying
READY TO GET STARTED?
Schedule a Consultation Today