- NCQA fully certified software with a nationwide track record encompassing more than 10,000,000 members.
- Medical record review and abstraction operations with hundreds of centralized data analysts, clinicians, review project managers, review schedule coordinators, and quality personnel - combined with hundreds more in-field clinical review nurses, data collectors, and certified medical coders.
- True end-to-end administrative process management – from receipt of raw native health plan data through CAHPS survey and hybrid sample definition, interim and final rate calculation, and automated Interactive Data Submission System (IDSS) provisioning.
- True end-to-end hybrid medical record review and abstraction process management – from the processes of data cleaning - to medical record location validation, chase prioritization, onsite and remote record digitization and abstraction, inter-rater reliability testing, quality over-reading, and data results reporting.
- Seamless data transfer and integration, administrative & hybrid “data refresh” flexibility, incorporating secure HIPAA compliant procedures.
- Comprehensive clinical, technical, HEDIS specification, and audit support aiding clients in all aspects of the challenging HEDIS reporting process – including the development of relevant Baseline Assessment Tool (BAT) responses and process documentation.
- Return-on-investment savvy solution focused on superior process support and accurate rate results, while minimizing client’s internal staff resource requirements, remaining absent of hidden costs, and avoiding the need for voluminous costly support hours.
- Superior medical record and chart chase logic developed with physician clinical input and the analysis of over 3,000,000 conducted medical record review results, designed to reliably optimize data location and abstraction results, while minimizing unnecessary reviews.
- Unmatched, real-time reporting and progress tracking capabilities with extensive, 24/7 access to a broad array of rich reporting tools revealing not only rate results, but also enabling insight into how to improve them.
- Flexible ability to easily customize or supplement administrative or hybrid measures to meet specific QI, P4P, disease management, claims auditing, risk adjustment, or other specialized needs.
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