HEDIS Abstraction

Pro1 Health’s commitment to quality healthcare is reflected in our specialized services that focus on Healthcare Effectiveness Data and Information Set (HEDIS) measures. These measures, developed and maintained by the National Committee for Quality Assurance (NCQA), are critical tools for health plans to assess the quality of care and services they provide. HEDIS measures cover a broad range of important health issues, including chronic condition management, preventive services, and patient satisfaction.

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Our Comprehensive HEDIS measures reporting services

Data Collection & Analysis

Data Collection & Analysis

Rigorous gathering & analysis of healthcare data relevant to HEDIS measures.

Performance Improvement

Performance Improvement

Assisting healthcare providers in developing strategies to improve performance based on HEDIS results.

Audit Support

Audit Support

Offering support during HEDIS audits to ensure compliance & accuracy in reporting.

Quality Assurance

Quality Assurance

Ensuring the accuracy and integrity of data reported in compliance with HEDIS Specifications.

Services for HEDIS Abstraction

Close care gaps and improve quality scores with our HEDIS abstraction services. Our team supports both administrative and hybrid abstraction, offering

  • tickChase logic development
  • tickMedical record retrieval and chart review
  • tickClinical abstraction by trained HEDIS specialists
  • tickInternal QA & real-time tracking

We provide flexible and scalable staffing solutions to meet peak-season demands as well as ongoing HEDIS abstraction requirements.

Benefits

Enhanced Patient Care

Our services support healthcare providers in detecting and resolving care gaps, helping improve clinical outcomes and overall patient care quality.

Standards-Aligned Reporting

We ensure every report adheres strictly to NCQA HEDIS specifications, supporting accurate submissions and regulatory compliance.

Stronger Health Plan Ratings

Precise and well-managed HEDIS reporting contributes directly to improved health plan performance and higher quality ratings.

Actionable Performance Insights

Our detailed analysis delivers meaningful insights that help organizations drive strategic decisions and continuous quality improvement.

Boost Quality Scores, Ensure HEDIS Compliance.

Rely on our expert abstractors for accurate, timely, and compliant HEDIS reporting that helps improve performance and quality outcomes.