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HEDIS® Compliance Audit™

Performance Measurement

MetaStar offers comprehensive HEDIS® Compliance Audit™ services to assist healthcare organizations in complying with the National Committee for Quality Assurance’s (NCQA) HEDIS Measure Reporting. With extensive experience since the program’s inception, we provide HEDIS Compliance Audits across all product lines, including commercial, Medicare, Medicaid, Exchange, and Special Needs Plans (SNP).

MetaStar also conducts audit reviews for Provider Organizations participating in the Integrated Healthcare Association California Align. Measure. Perform. (AMP) Program. The AMP program audit requirements are based on the NCQA HEDIS Compliance Audit program.

We have extensive expertise in collaborating with organizations of all sizes, ranging from small, independent entities to large, national plans. Our team of highly skilled and responsive auditors are certified by NCQA and possess a combined total of 100 years’ experience conducting HEDIS audits.

Looking for a HEDIS Compliance Audit Firm? Here are five reasons to partner with MetaStar.

  • Unmatched Expertise: The MetaStar team has unparalleled depth of knowledge and expertise in HEDIS compliance. We stay up to date with the latest industry trends, regulations, and best practices, so our clients stay ahead of the curve.
  • Dedicated Professionals: Our team is committed to providing exceptional service and support. From HEDIS data collection and abstraction to audits and reporting, our experts are thorough, detail-oriented, and focused on delivering accurate and reliable results.
  • Tailored Solutions: Each organization is unique—that’s why we believe in tailoring our solutions to meet your specific needs. Our approach is flexible, adaptable, and designed to optimize your HEDIS performance while minimizing disruptions to your existing processes.
  • Cutting-Edge Technology: MetaStar leverages advanced technology and tools to streamline HEDIS compliance processes, making them more efficient and effective. Using automation and data analytics, we can uncover valuable insights, identify areas for improvement, and drive better outcomes for your organization.
  • Collaborative Partnership: At MetaStar, we prioritize building strong relationships with our clients. We believe in open communication, collaboration, and transparency throughout the audit process. By working closely with your team, we can ensure a smooth and successful HEDIS compliance journey.

MetaStar is an NCQA licensed compliance audit organiation

Are you ready to elevate your HEDIS compliance efforts? MetaStar is the ideal partner to drive positive change and improve outcomes. Let’s talk! Reach out today for additional information and to request a proposal.

 

* HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). NCQA HEDIS Compliance Audit™ is a trademark of NCQA.

 

 

To Learn More, Contact

Manny Martin

Vice President of Commercial Services

"We appreciate all the seasoned direction and feedback provided, along with the opportunity for collaborative rebuttal discussions. Very professional and well-managed process."

NCQA HEDIS Compliance Audit Customer