About Us

HEDIS-Consultant was established based on years of extensive HEDIS management in the Health Care industry. Over the years I learned to take advantage of my education in statistics, my background in the software development industry and HEDIS requirements to develop unique point of view and approach to the HEDIS world. Opportunities for improvement reside in every aspect and stage of the process. It requires both clinical and analytical skills to identify almost endless opportunities for improvement. 
     Data Opportunities
  • Accurate mapping of provider specialty to provider type
  • Mapping invalid/homegrown codes
  • Identify coding misplacement (HCPCS, CPT, ICD, NDC, etc....)
  • Supplemental databases
  • more...
     
    Final Submission
  • Final administrative refresh
  • MRR results incorporation
  • IDSS population
  • more...
 
 
 
     Chase Logic -
  • Location prioritization based on the measure
  • Provider table cleanup to reduce volume of chases
  • Identification of invalid chases based on specialty (Ambulance, Anesthesiologist, etc....)
  • more...
 
    MRR Project
  • Staff training
  • Abstraction tools
  • Assignments
  • Chase status management during the season
  • Chart abstraction
  • Over-reads
  • more...