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With the goal to improve healthcare quality, the National Committee for Quality Assurance (NCQA) has provided a tool called the Healthcare Effectiveness Data and Information Set (HEDIS) that measures the quality of care and service. More than 90 percent of America’s health plans use this tool to evaluate performance. Physicians are increasingly participating in performance measurement activities. HEDIS scores also help consumers to compare the performance of health care plans. A reliable medical billing and coding company with several years of experience in the field, Outsource Strategies International (OSI) provides comprehensive HEDIS measurement service for insurers as well as physicians. Altogether, HEDIS consists of 81 measures across 5 domains of care.
Our professional HEDIS coding services are designed to help insurers meet their NCQA quality goals and healthcare practices to maximize their reimbursement.
Dial 1-800-670-2809 to benefit from our Free Trial offer.
Comprehensive Coding Services
Our HEDIS measurement process addresses a broad range of important health measures that include, but are not limited to – adult BMI assessment, asthma medication use, persistence of beta blocker treatment after a heart attack, controlling high blood pressure, comprehensive diabetes care, immunization status, advising smokers to quit, antidepressant medication management, childhood immunizations, cervical cancer screening, breast cancer screening, care for older adults and fall risk management.
We offer specialized services covering all phases of the HEDIS process such as
- Data collection
- Medical record abstraction
- Medical record retrieval
- Detailed audit of records
- Real-time reporting
- NCQA submission
Up-to-date with the latest specifications and revisions from NCQA, our dedicated workforce has a comprehensive understanding of data optimization and the auditing process. Our team comprises AAPC-certified coders, registered nurses, physicians, certified auditors and medical professionals.
Along with designing appropriate verification audit steps, we make sure to submit all HEDIS data well before the deadline. We submit claims with the proper ICD-9 and CPT codes.
We also provide ICD 10 medical coding services.
Specific to each HEDIS measure, medical record review services at OSI generally include medical history, lab results, specialist consultations and chart notes for a specified period.
Why Choose OSI?
- On-time submission of HEDIS data
- Ongoing tracking and reporting
- Customized mock audits
- HIPAA compliance
- Quality compliance standards
- Cost savings of 30 to 40%
- No long term yearly contracts
Call us at our toll free number 1-800-670-2809 for a free solutions consultation with our HEDIS coordinator.