There are many vendors out there that provide different hedis services. Hedis reporting tool hedis analytics change healthcare. Careseed hedis and healthcare quality software and. The following vendors received special recognition for completing full hedis certification at least two weeks ahead of the deadline. Is your ncqa certified hedis software vendor in place. We initiate hedis projects by assessing your operational and technical. Ncqa measure certification proves that vendors have the ability to produce accurate and reliable hedis results using their software. For many managed care organizations, some prehedis activities are already underway. This means ncqa testing methods can be used by health it developers for applicable onc hit certification program electronic clinical. Interpreta has been selected by ncqa to be a beta vendor for hedis 2020 and iha amp measure certification season. Unless specified by an external organization, the use of survey vendors is recommended but not required. New to the sport this year is certification that accounts for rules for allowable adjustments of hedis so that different levels of the health care system can use hedis measures. In addition, our software can create dynamic, custom reports to fill internal and other reporting needs. Klas research used its wellestablished methodologies and exhaustive customer research to evaluate vendor and solution performance across multiple categories.
Approved for use in the onc hit certification program. Solutions aps provides a comprehensive and flexible array of fully customizable services to support organizations throughout the ncqa hedis reporting process, including consulting services for hedis and quality improvement projects from basic education to oversight and management of the process. Hedis annual timeline hipaa and hedis what is the providers role in hedis. Utilize expert experience with our years of ncqa certification and best in klas program support to assist payers through the hedis annual event and throughout the year. Healthcare effectiveness data and information set hedis.
The firms listed below have been trained and certified by ncqa to collect hedis 2016 survey results. The solution ncqa certified software pdf powerful, webbased, ncqa certified software to help you manage your complete hedis reporting and workflow processes. 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. Evaluates organizations that develop, license and sell qualitymeasure reporting software that calculates ecqms using electronic health record ehr data. February 26, 2015 medeanalytics today announced that its hedis module has been certified by the national committee for quality assurance ncqa for healthcare effectiveness data and information set hedis 2015 measures. Ncqa measure certification proves that vendors have the ability to produce accurate and reliable hedis results using their software code. Qsi has passed the ncqa hedis measure certification with no exceptions since the inception of the software certification process by ncqa in 2001.
Hiring a survey vendor agency for healthcare research. 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. Many vendors had varied results and consequences were not severe. Ncqa accredits and certifies a wide range of health care organizations, recognizes physicians and physician groups in key clinical areas and manages the evolution of hedis, the tool the nation. Health plans and other health care organizations can learn more about how to choose a vendor for hedis or amp reporting or see a list of organizations that have earned ncqa measure certification. Ncqa hedis 2020 digital measures bundle for ecds and. Vendors process unique sets of test data using their hedis software product. Ncqa is a nonprofit organization dedicated to improving health care quality. Ncqa chooses interpreta as measure certification hedis 2020.
Verisk healths hedis measures are certified and ready for. Ncqa certifies eight software vendors quality digest. Twentythree vendors earn ncqas measure certification. Verscend technologies hedis measures are certified and. In addition to all of the hedis content we have to share and discuss, we will be offering a hedis question booth, a trivia challenge, along with meals and breaks built into the oneday agenda so you will have time to network with your peers and certified hedis measure software vendors or. Entities that do not submit hedis data to ncqa, but use hedis measures and specifications in a commercial product or service, must be certified for all measures used. However, the following disclaimer language must be used, as applicable. Ncqa certified measuressm status validates the rigor of quality. This is inovalons thirteenth year working with ncqa as a beta test partner for hedis software certification. Checklist for reporting hedis optumtm has the knowledge and resources your health plan needs to build and maintain higher quality ratings. Hedis uses automated testing to validate software designed to sift through health plan databases, collect relevant data and calculate results.
Depend on our solution which has earned continuous ncqa re certification since 2005 without exceptions and without re certification. Medeanalytics quality management solution helps users identify and close gaps in care, prepare for hedis and medicare star ratings, and engage providers in ongoing evidencegathering. Dst health solutions careanalyzer achieves ncqa hedis certification for 12th consecutive year ncqa certified careanalyzer hedis software helps health plans measure quality and lower audit. Hbi solutions among vendors certified for 2020 hedis measures.
Citiustechs biclinical platform ncqa certified for all. Certified vendors are also listed on the ncqa website. Hedis 2020 and amp my 2019 vendor certification status. Quality intelligence processes data for 68 percent of health plan members for whom hedis scores are reported.
Assisting with vendor and auditor relationships and serving as a key hedis. We like certifying hardworking companies committed to quality health care. 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. Apply to adjuster, intervention specialist, director of quality and more. Arkansas foundation for medical care jason scheel 1020 west 4 th street little rock, ar 72201 tel. Verisk healths hedis measures are certified and ready for 2015 season solution also features hedis retrieval, hedis abstraction, and supplemental data reporting waltham, mass. Accrediting body aco accountable care organization cec certified hedis compliance auditor certified hedis survey vendor clinician consultant consumer advocate cvo credentials verification organization dm disease management employer government state or federal agency health insurance exchanges hedis software vendor legal local ccp mbho. Apss solutiontm is an easytouse, webbased system to manage and streamline hedis reporting processes. Biclinical is the only solution in the industry that is certified for both payer and providercentric performance indicators, giving payers the flexibility to drive provider rules as advocated by 2019 ncqa adjustment rules, says shyam manoj, vice president of health plans and payers at citiustech.
Thats what drives our team to continually be first among vendors to become certified each year and to meet the stringent criteria that ncqa has for its vendors. So were proud to announce 23 companies recently earned ncqa measure certification for their software code that produces measure results related to the healthcare effectiveness data and information set hedis. Ncqa hedis software certification is awarded when 90 percent or more of the measures are confirmed, and certification is valid for one year. Ncqa is always happy to make announcements like this one. Twentyone vendors earn ncqas measure certification ncqa.
The healthcare effectiveness data and information set hedis is a widely used set of. I wanted to address the substantial role that outside vendors play during the hedis. Dst health solutions careanalyzer achieves ncqa hedis. The company is one of 21 software vendors that earned. Healthcare organizations that calculate hedis measure results using internal software e. Additionally the bulk of the work, chart abstraction and overreading, is right around the corner. Weve raised the bar with exceptional standards of security, reliability and availability. Payer vendors gear up for hedis 20 health data management. Twenty software vendors serving health insurers will seek certification that their software supports the hedis 20 set of quality measures from the national committee for quality assurance.
For many managed care organizations, some pre hedis activities are already underway. Imi health achieves ncqa hedis software certificationsm for. Ncqa hedis 2020 digital measures bundle for ecds reporting. Ncqa established healthcare effectiveness data and information set hedis measures specifically for snps.
Therefore, we have a critical responsibility to ensure that our hedis software measures meet the highest standards as soon as possible, said dr. Help enhance quality and star ratings with our full suite of chart abstraction and retrieval, and member engagement solutions including member education, office visit assistance, and inhome visits for an endtoend solution. Ncqa certified software undergoes a rigorous validation. Software vendors seek hedis certification quality digest. Computer software consumer electronics data analytics electronic commerce. Hedis certification status hedis recertifications measure and date amp certification status amp recertifications measure and date able health. Visitors to this page often check hedis faqs or ask a question through myncqa. All organizations listed below are approved home health care cahps survey vendors. 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. Medeanalytics receives 2017 certification from ncqa for hedis certified measuressm.
Because health plans rely on quality measure reporting for decision making and for regulatory and contracting purposes, the reporting software they use for hedis, amp and other quality measure reporting must be accurate. Certifications for collecting providerpractice data. Our team has an unbroken track record in achieving ncqa certification early in the hedis season, which gives our clients a quality analysis, improvement, and reporting edge. Medeanalytics quality management achieves 2019 certification. Cotiviti hedis measures are certified and ready for the 2019. Youve asked for it and now carenational is going to provide it, hedis training and certification. More than half the countrys population190 million peopleare enrolled in health plans that report quality results using hedis. Mar 07, 2019 medeanalytics quality management achieves 2019 certification from ncqa for hedis certified measures sm for the sixth consecutive year. Quality insights software is fully certified for the 2020 hedis. Risk tracking, custom reporting, vendor portal, workflow tools, 247 access, unlimited storage learn more about vendorinsight vendorinsight is a webbased vendor risk management solution that simplifies your vendor and contract management process through automated workflows, easytouse features. I wanted to address the substantial role that outside vendors play during the hedis season.
The recipient of the 2017 best in klas award for payer quality analytics and reporting solutions, quality intelligence combines ncqa certified measure logic and easytouse reporting software with highvolume, expert retrieval, and abstraction services to drive the best results with the least amount of health plan effort at every step. Cotiviti hedis measures are certified and ready for the. One of the initial vendors to achieve certification for 2015, medeanalytics delivers rapid timetovalue and offers a big picture perspective. Ncqa measure certification validates organizations that develop, license and sell hedis, amp and other qualitymeasure reporting software that. For hedis 2020, ncqa certified ecqm vendors can transform certified qrda1 files to other industry standard formats e. Ncqa revised dates for software vendors 12152016 hybrid, sampling and cahpsees completion 02152017 all remaining measures must be certified problem areas during hedis 2016 16. Healthcare effectiveness data and information set wikipedia. With hedis measure specifications published halfway through the 2019 measurement year, health plans and hedis certified vendors found themselves in a race against the clock preparing and updating software to incorporate new measures and measure specification changes.
Interested bidders may submit a proposal proposal containing the information requested in this rfp. Depend on our solution which has earned continuous ncqa recertification since 2005 without exceptions and without recertification. Hedis is a comprehensive set of standardized performance measures designed to provide purchasers and consumers with the information they need. Careseed hedis and healthcare quality software and consulting.
To keep it simple, ncqa and these vendors want to make sure that the software works the way it is supposed to. The company is one of 21 software vendors that earned this certification by the february 15 deadline. This selfpaced, online training is a stepping stone to a successful hedis career. Ncqa certified vendors have gone through a rigorous process to validate accuracy and support your organization. Vendors with an asterisk beside their name have had their quality assurance plan qap accepted. Ncqa measure certification validates organizations that develop, license and sell hedis, amp and other qualitymeasure reporting software that calculates. Since the data format would be validated during the certification process, the data that plans would ingest from ncqa certified vendors hies would not be subject to primary source verification during the hedis audit because they would be considered a. Certifies organizations that develop, license and sell hedis, amp and other qualitymeasure reporting software that calculates measures using administrative data sources.
Help improve hedis performance initiatives and workflow processes through actionable insights with an endtoend integrated analytics solution. Vendors must be certified for all certifiable measures they report to ncqa. The logic used to produce these hedis measure results has not been certified by ncqa. A calculated measure result a rate from a hedis measure that has not been certified via ncqas measure certification program, and is based on unadjusted hedis specifications, may not be called a health plan hedis rate until it is audited and designated reportable by an ncqa certified hedis compliance auditor. Used by a diverse range of clients, it raises the bar with its exceptional standards of security, reliability and availability. Hedis 2016 ncqa certified hedis survey vendors as of 11122015. Cahps survey a component of hedis how can aetna better. Its no secret that hedis measurement and reporting is time consuming and burdensome. Quality intelligence won the 2017 best in klas award for payer quality analytics and reporting solutions. 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. Medeanalytics receives 2017 certification from ncqa for hedis. Inovalon is a ncqa beta test partner for the hedis 2014 software certification process. Users of cahps surveys of patient experience typically seek out and contract with a survey vendor to administer the survey and sometimes to analyze and report the results.
955 1518 282 1269 87 777 1308 218 494 667 760 455 1001 36 845 384 256 1013 210 139 1468 1204 492 868 1099 746 1035 230 1299 915 285 1091 890 655 486