There are many facets when you look at HEDIS. There are so many aspects to take into account and it can be difficult to keep everything straight. Do you know what your responsibilities as a provider are? Keep reading to learn about the provider’s responsibility in the data collection process and how Chart Review Nurses can help you keep the process running smoothly.
What is HEDIS?
The first question you might need clarification on, is what is HEDIS? HEDIS stands for the Healthcare Effectiveness Data and Information Set. This is a set of performance measurement and improvement tools that are used throughout the United States. Used by 90% of health plans to address quality of care, HEDIS is an important tool for comparing health plans against one another.
Is participation in HEDIS mandatory for providers?
Yes! Participation in HEDIS is mandatory for any contracted providers. Not only are you required to participate in the data collection process, but you must also participate in office reviews, focused reviews, and chart and access audits.
What is the provider’s responsibility in the data collection process?
Because HEDIS is a time-sensitive project, it is essential to respond to medical record requests in a prompt manner. This is important to ensure that quality of care can be reported to members. You will be required to submit medical records for review through your preferred method of record retrieval.
Contact Chart Review Nurses today if you need help with your HEDIS projects!
If you are a provider or a health plan and you need help with your HEDIS work, Chart Review Nurses is here to help. If you’re not sure why you should trust Chart Review Nurses, consider this:
- Our nurses are highly skilled and know the ins and outs of all things HEDIS
- We only hire skilled chart abstractors
- We provide continual training so our staff stays up to date on HEDIS developments
- We have over 2024 years of experience
- We are backed by the Datafied name
If you’re ready to get some help with HEDIS, give us a call today at (877) 328-2343 to discuss our chart abstraction and HEDIS services!
To learn more about the reliable and quality HEDIS services that we offer, visit us on the web at Charteviewnurse.
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