HEDIS Measures Reporting
Atom Healthcare provides a full suite of HEDIS support services to enhance quality quality and star ratings with our full suite of chart abstraction and retrieval, and member engagement solutions including member education, office visit assistance, and others.
Measures are added, deleted, and revised annually. HEDIS data is collected through surveys, medical charts and insurance claims for hospitalizations, medical office visits and procedures. HEDIS results are increasingly used to track year-to-year performance and must be audited by an NCQA-approved auditing firm for public reporting. HEDIS data are useful for evaluating current performance and setting goals. The goal is for providers to submit claims/encounters with coding that decreases or removes the need for medical record.
HEDIS Abstraction / Star Rating and Benchmarks for Medicare, Medicaid, and commercial health plans
Intervention to impact HEDIS data and timely closure of Gaps.
Pursue Clinical data aggressively to ensure compliance rate
Care Coordination / education with Physicians to improve effectiveness of clinical care
Real-time “Gaps in Care” alerts generation
Atom Healthcare’s provides HEDIS Reporting services for the following measures:
ABA Adult Body Mass Index
Childhood Immunization Status with Lead Screening in Children
Adolescent Well Care
Frequency of Prenatal Care
BCS Breast cancer Screening
IMA Immunizations for Adolescents
Controlling High Blood Pressure
Prenatal and Postpartum Care
Cervical Cancer Screening
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/ Adolescents
Comprehensive Diabetes Care
Well Child Visits in the First 15 Months of Life
Child Visits in the 3rd, 4th, 5th, and 6th Years of life