What is a HEDIS Compliance Audit?

A HEDIS Compliance Audit is a review completed by the NCQA to determine whether or not an organization can process medical, member, and provider information as a foundation for accurate and automated performance measures. This includes HEDIS reporting. Overall, the audit examines an organization’s information practices, control procedures, sampling methods, integrity of data, compliance with HEDIS requirements, analytic file production, and reporting.