A robust reporting and workflow management tool for payers that want to streamline and increase their Healthcare Effectiveness Data and Information Set (HEDIS®) quality measurement and reporting activities.
Simplify the complete hybrid review process through our NCQA-certified HEDIS quality rules processing engine. Generate samples, manage medical record abstractions, and create data submission files.
Eliminate time-consuming manual coding and measure updates with automated processes. Certify final hybrid rates within minutes, rather than days.
Support medical record review activities with online and offline data collection. Central data repository holds claims, membership, enrollments, lab, and pharmacy data, plus scanned charts.
Increase efficiency throughout the HEDIS lifecycle. Create your CAHPS® survey sample frame in a few clicks. Manage both your HEDIS and analytics drawing from the same input files, with Risk Manager.
Use web-based workflows to allocate chart reviews manually or systematically by location. Isolate measure-level and member-level detail for further research using powerful audit tools.
Receive up-to-the-minute results with in-line rate calculation. Quickly generate NCQA IDSS data files, the CMS-required PLD submission file, and Medicare patient-level data for final submission.