Solve complex business problems and issues using data. Gchp, as the medical managed health care plan mcp in ventura county, is required by the department of health care services dhcs to report hedis performance measures of quality, access, and utilization on an annual basis. Answer your toughest clinical and financial improvement questions. Healthcare effectiveness data and information set hedis, created and administered by the national committee for quality assurance ncqa, provides a standard for measuring the quality of care across a variety of health and disease categories. Used by a diverse range of clients, it raises the bar with its exceptional standards of security, reliability and availability. We offer an online hedis training that will prepare you to be a hedis professional. Certified measures capabilities optum hedis reporting is fully certified ncqa hedis software, which allows our partners to measure, run, and submit all administrative and hybrid hedis measures. Ncqa measure certification validates organizations that develop, license and sell hedis, amp and other qualitymeasure reporting software that calculates. The output is then compared to the expected results to determine whether the software computes hedis rates correctly. This gives plans the ability to run hedis frequently daily, weekly, monthly and constantly move the bar in the right direction on quality outcomes.
Therefore, we have a critical responsibility to ensure that our hedis software. Hedis the healthcare effectiveness data and information set is the gold standard in health care performance measurement, used by more than 90 percent of the nations health plans and many leading employers and regulators. A health plan that uses internal software to record hedis must have their software certified by ncqa, or contract with a certified software vendor, no later than 2021. Public reporting of an ecds measure is a critical step in the use of clinical data systems to measure quality. The quality intelligence solution blends ncqa certified measure logic and easytouse reporting software with highvolume, expert retrieval and abstraction services to drive. Medeanalytics expands quality management solution with ncqa for hedis certified measuressm and hedis quality benchmarks new capability helps health plans improve quality improvement and plan. Medhok earns full 20 ncqa hedis software certification for. The company is one of 21 software vendors that earned this certification by the february 15 deadline. Ncqa screens, trains and certifies organizations that collect or audit data for health plans and providers hedis reports and research. Medeanalytics, a healthcare analytics softwareasaservice saas leader, announced today that the administrative measure logic in its quality management product has achieved 2020 national committee for quality assurance ncqa certification for the healthcare effectiveness data and information set hedis measures for the seventh consecutive year. The approved method for auditing the hedis production process, including an information systems capabilities assessment, an evaluation of compliance with hedis specifications and standards that certified hedis compliance auditors must use when conducting a hedis audit. Imi health achieves ncqa hedis software certificationsm for.
This marks the third consecutive year medhok has achieved this. Software vendors seek hedis certification quality digest. The course consists of online presentations, interactions with your classmates, assignments. It is an easy to use product to meet annual state and national regulatory requirements with the flexibility to meet health plan specific quality improvement objectives. Quality and valuebased care is the fasting growing sector in the healthcare system. Hedis software certification sm is a service mark of the national committee for quality assurance ncqa. Health plans utilize the healthcare effectiveness data and information set hedis to help them evaluate their performance by assessing the quality of service that their providers offer and recognizing any performance gaps in the services they provide. As valuebased reimbursement becomes the standard, cotivitis quality and performance solutions allow health plans to move from simply reporting quality measures to driving the purchase, delivery, and utilization of higher value healthcare. Hedis reporting tool hedis analytics change healthcare.
Additionally the bulk of the work, chart abstraction and overreading, is right around the corner. The firm shall maintain ncqa hedis certified status throughout the contract period. Altegra health awarded ncqa software certification for the. Hedis is a set of standardized measures that specifies how organizations collect, audit and report performance. Were excited to deliver so early in the 2015 reporting season our hedis solution, which is 100 percent certified for all measures tested in the ncqa measure certification program, said nadine hays, president of verisk health. If you are a nurse or other health care professional that has been dying to get into the hedis world and work a hedis project as an abstractor, you can now go through carenationals own training and certification program, hedis certify, taught by kim williams, a certificed professional in. Cotiviti hedis measures are certified and ready for the 2019. Verisk healths hedis measures are certified and ready for. Ncqa certification products represent a subset of the standards and guidelines for our accreditation products and are appropriate for organizations that provide specific services, but not comprehensive programs. Averaging more than 15 years of quality reporting experience, our team has. Also it requires less time and regular business hours with the possibility of working from home. Evaluates organizations that develop, license and sell qualitymeasure reporting software that calculates ecqms using electronic health record ehr data. Practice not affiliated with hospital, laboratory, partnerreseller, payer, software vendor, trust, other. Careseed hedis and healthcare quality software and.
There are many vendors out there that provide different hedis services. Notice of request for proposal hedis services rfpgchp082515. Medeanalytics quality management achieves 2019 certification. Ncqa certified vendors have gone through a rigorous process to validate accuracy and support your organization. Ncqas measure certification program validates the integrity of the software code that produces results for each measure. Rated as a topthree solution by klas research in both 2017 and 2018, quality intelligence combines ncqa certified measure logic and easytouse reporting software with highvolume, expert medical. What to do when ncqa requires hedis measure recertification. Hedis software calculates standard measures to support annual audit and reporting requirements for health plans, and imi healths ncqa certified software helps health plans measure quality and.
Medeanalytics quality management achieves 2019 certification from ncqa for hedis certified measures sm for the sixth consecutive year. These organizations benefit from medmeasures hedis certification. Medeanalytics expands quality management solution with ncqa. Ncqa hedis software certification is awarded when 90 percent or more of the measures are. The firm shall also provide technical assistance for software installation, training, and software customization. Advantmed, llc has received certification from the ncqa for all the 2020 hedis administrative measures. General dynamics healthcare reporting software receives hedis. Business wire improving member health outcomes is the highest priority of any health plan, with. In september 2019, ncqa announced that prenatal immunization status prs will be the first publicly reported electronic clinical data system ecds measure health plans will use the measure in hedis measurement year 2020 and report the results in june 2021 why does this matter. Viewing and extracting reports is a simple, menu driven process with a variety of. The evaluations are conducted by physicians, if appropriate, and experts in the product being. I wanted to address the substantial role that outside vendors play during the hedis season.
Hedis software calculates standard measures to support annual audit and reporting requirements for health plans, and imi healths ncqacertified software helps health plans measure quality and. Medeanalytics expands quality management solution with. Biclinical has been certified by ncqa for its 2019 hedis coverage. Medhok is pleased to be among the vendors to achieve full certification. Quality insights software is fully certified for the 2020 hedis. Mckesson software earns certification for eighth year.
Help improve hedis performance initiatives and workflow processes through actionable insights with an endtoend integrated analytics solution. For many managed care organizations, some pre hedis activities are already underway. Support medicare stars and broader hedis program by engaging and transforming how data influences operational and strategic decision making. Hedis business consultant 25722 solving it chicago, il contractor one of the largest health insurers in the nation is focused on continuously building an industrydefining, worldclass it capability. Altogether, hedis consists of 75 measures across 8 domains of care.
Solicitation bc21112m hedis software page 2 of 4 program. Apply to caller, medical technician, executive and more. Citiustechs biclinical platform ncqa certified for. Dst health solutions careanalyzer achieves ncqa hedis. There is no time limit to complete the training but we urge you to finish within 6 months because we want you to get out there and succeed. Cognizants claimsphere hedis solution overview claimsphere hedis is cognizants ncqacertified hedis solution for the healthcare payer market. The changes surrounding licensing and certifications are to ensure hedis results are accurate, reliable, and can be used for all purposes, including the improvement of. Ncqa certifies eight software vendors quality digest. We initiate hedis projects by assessing your operational and technical. Gaining hedis experience for the first time video september 8th, 2017 there are a variety of ways you might gain supporting skill sets, and it is important to tailor your resume to showcase these past experience in order to demonstrate that skill set. The national committee for quality assurance has announced that 12 software vendors are seeking certification for its health plan employer data and information set hedis program. Medecision achieves ncqa hedis certification for first. Tiermed hedis solution ready for 2010 reporting season. Aside from incorporating changes to measures, has the approach and standard for certification changed.
Medhok earns full 2012 ncqa hedis software certification. Ncqa certified measuressm status validates the rigor of quality. Depend on our solution which has earned continuous ncqa re certification since 2005 without exceptions and without re certification. The healthcare effectiveness data and information set hedis is a tool used by more than 90 percent of americas health plans to measure performance on important dimensions of care and service. Please note that in 20, for hedis 2014, ncqa clarified the scope of certification and change the name from software certification to measure certification. Vendors process unique sets of test data using their hedis software product. Only certified hedis compliance auditors working for, or contracted with, licensed organizations are eligible to complete hedis compliance audits. Rated as a topthree solution by klas research in both 2017 and 2018, quality intelligence combines ncqa certified measure logic and easytouse reporting software with highvolume, expert medical record retrieval and abstraction services to drive the best results with the least amount of health plan effort at every step.
Weve raised the bar with exceptional standards of security, reliability and availability. Citiustechs services and solutions include healthcare software. Certifications for collecting providerpractice data emeasure certification. Health plans that use a certified solution know their measure logic has gone through the. Utilize expert experience with our years of ncqa certification and best in klas program. Processing data for 68 percent of all health plan members for whom hedis scores are reported, quality intelligence combines ncqa certified measure logic and easytouse reporting software with highvolume, expert medical record retrieval and abstraction services to drive the best results with the least amount of health plan effort at every step. Hedis uses automated testing to validate software designed to sift through health plan databases, collect relevant data and calculate results. Cotiviti hedis measures are certified and ready for the. Business wire improving member health outcomes is the highest priority of any health plan, with ncqas hedis measures setting the standard for quality in the industry, said emad rizk, m. Medeanalytics quality management solution helps users identify and close gaps in care. An open source platform to perform hedis calculations. Quality insights software is fully certified for the 2020 hedis season march 02, 2020. Processing data for 68 percent of all health plan members for whom hedis scores are reported, quality intelligence combines ncqa certified measure logic and easytouse reporting software with. For 2015 hedis submissions, verisk health processed claims for approximately 40 percent of the americans who are members of plans that submit hedis quality metrics to ncqa.
Have there been any changes to the hedis software certification process. In addition, our software can create dynamic, custom reports to fill internal and other reporting needs. Work with the application development team to ensure the accuracy of programs used to create hedis data submission files and that these programs are kept updated for the latest. Mar 09, 2020 cotivitis hedis measures earn ncqa certified measures. Hedis electronic clinical data system ecds reporting ncqa. Often times as health care professionals we feel like w cant do enough, especially in patient. Ncqa certified software undergoes a rigorous validation. Requirements for the software the hedis software shall be installed onpremise at hilltop for up to 10 users to calculate hedis and. Hedis data analyst resume example caresource springboro, ohio. Youve asked for it and now carenational is going to provide it, hedis training and certification. The solution ncqa certified software pdf powerful, webbased, ncqa certified software to help you manage your complete hedis reporting and workflow processes. Accountable health care requires both measurement and transparency.
Health plans that want to obtain ncqa accreditation need to collect data on patient care, organize it into specific measures defined by hedis, and verify if specific criteria for these measures have been satisfied. Apss solutiontm is an easytouse, webbased system to manage and streamline hedis reporting processes. Apply to quality specialist, intervention specialist, coding specialist and more. Ncqas measure certification program validates organizations hedis, align. Responsible for running and utilizing careanalyzer ncqa hedis certified software to obtain hedis measure rates for monthly and annual reporting to management. Advantmeds measure logic has been certified by ncqa since 2007, says. Hedis offers great pay, typically above the average salary of an rn. That is why we publish what we learn from hedis in many forums and formats hedis users group hug. Depend on our solution which has earned continuous ncqa recertification since 2005 without exceptions and without recertification. Cotivitis hedis measures earn ncqa certified measures.
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