What is a HEDIS Compliance Audit?
The NCQA licenses organizations to conduct audits using their standardized method. These organizations review the information throughout the first half of the audit to identify what areas should be focused on during the second half of the audits. This means that every audit is customized in variation to the weaknesses and strengths of every health plan.
What is the NCQA?
NCQA stands for the National Committee for Quality Assurance. They are the organization that resumed control of the management of HEDIS in 1992. Since then, they have been driven by the goal of standardizing a way to measure health plans against one another so consumers can make more informed decisions. In 1993, they released the HEDIS 2.0 and has since seen the demand for health plan performance data grow significantly.
What do I need to know about the HEDIS Compliance Audit Program?
When it comes to the HEDIS Compliance Audit Program that is much to know. However, understanding the audit standards is paramount. These standards are designed to complement the other HEDIS verification procedures that currently exist in health plans. Overall, the NCQA HEDIS Compliance Audit is meant to indicate whether a health plan has the procedures and foundation necessary for processing member, provider, and medical information in an accurate and efficient manner.
The Compliance Audit addresses indicators, such as information practices and control procedures, institutional data integrity, compliance with HEDIS specs, analytic production, reporting and documentation, and sampling methods. With the focus on data management and processing, it’s important to keep your health plan procedures in line.
What if I need help with my HEDIS tasks?
At HEDIS Nurses, we have an experienced team of qualified nurses that are willing and able to assist with your HEDIS tasks. Whether you want to improve your HEDIS performance scores or pass HEDIS Compliance Audits with flying colors, HEDIS Nurses can help. From full scale outsourcing of HEDIS work to smaller chart abstraction project assistance, we can become a valuable member of your team. Our certified nurses are well versed in all matters HEDIS with the knowledge and experience necessary to get the job done right. If you are interested in learning more about the services we have to offer, visit us on the web at HEDIS Nurses. To get started bringing HEDIS Nurses on board, call today at (877) 328-2343.
Are you experienced in HEDIS?
If you are experienced in and are looking for a job in HEDIS, you just might be in luck! HEDIS Nurses is currently hiring. We are always looking for quality nurses to bring into our team of hardworking individuals. We offer great benefits, like quality work and flexible schedules. If you are looking for work and want to join the amazing team at HEDIS Nurses, apply today! Simply visit us on the web and submit your resume online at HEDIS Nurses.
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