MetaStar offers unparalleled expertise in HEDIS Compliance Audits™, and was among the first organizations to become licensed by the National Committee for Quality Assurance (NCQA). MetaStar is one of eight NCQA-licensed organizations across the United States, and one of only a few that are also an External Quality Review Organization (EQRO) and a Quality Improvement Organization (QIO).
MetaStar’s audit team consists of health care professionals skilled in data analysis, quality improvement, information systems, project management, and auditing methods. Our auditors adhere to all NCQA HEDIS Compliance Audit™ standards and perform the audits in accordance with MetaStar’s standard operating procedures. MetaStar auditors participate in NCQA’s annual audit update programs, NCQA auditor continuing educational programs, and MetaStar’s audit training programs.
MetaStar’s key strengths include high customer satisfaction, contract retention, and staff experience. MetaStar assigns the same lead auditor for multiple years, which increases the efficiency of the audit for both the health plan and MetaStar.
- 100% of MetaStar customers would recommend our HEDIS audit services.
- 100% of MetaStar customers would contact MetaStar for future business needs.
“Staff members are helpful, knowledgeable, responsive, and go above and beyond to keep us on track.” – Large multi-state health plan.
“The staff's expertise, knowledge of our business and responsive customer service make for a wonderful audit experience with MetaStar.” – Small Wisconsin health plan.
“MetaStar’s staff is helpful, knowledgeable, and friendly. The overall audit was painless and pleasant.” – Medium Midwest health plan.
MetaStar values each health plan’s unique needs and considers every customer relationship a partnership. Your lead HEDIS auditor from MetaStar collaborates with your organization’s HEDIS team to provide:
- A customized audit process and timeline.
- Key goals and strategies for quality improvement opportunities.
- Actionable items early in the audit process to maximize opportunities to obtain reportable HEDIS rates.
Our team of specially trained and qualified auditors identifies quality improvement opportunities, shares best practices, and responds to each health care organization’s specific needs using knowledge learned through MetaStar’s experience as an EQRO and Quality Improvement Organization.
MetaStar also performs Medicare Part C and D Data Validation Audits, Wellness and Health Promotion (WHP) audits, and Disease Management (DM) audits. Thus, MetaStar is able to identify areas where there may be overlapping resources and/or areas where efficiencies may be gained. For customers utilizing more than one MetaStar service, please inquire about package pricing discounts.
Leia E. Maves, MBA-HCM, CHCA
(800) 362-2320, ext. 8231
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
NCQA HEDIS Compliance Audit™ is a trademark of the National Committee for Quality Assurance (NCQA).