Thomson Reuters offers HEDIS Compliance Audits or Audit Reviews for both health plans and physician organizations. As an organization licensed by NCQA to perform HEDIS audits, our trained professionals located throughout the United States have extensive experience with Commercial, Medicare, and Medicaid HEDIS data and reporting requirements.

Benefits

  • Thomson Reuters industry expertise includes unparalleled experience with the logistics of HEDIS data collection, validation, and reporting.
  • Thomson Reuters employs nationally recognized NCQA-certified HEDIS compliance auditors who are among the most seasoned and experienced in the industry.
  • While our certified auditors focus on broad issues of data completeness and suggestions for data improvement within the audit guidelines, our dedicated medical records and program source code review staff focus on these critical audit components.
  • Thomson Reuters continually evaluates its processes to best serve our clients with efficient and effective audit services while meeting the NCQA audit performance and reporting requirements.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
HEDIS Compliance Audit&153; is a registered trademark of the National Committee for Quality Assurance (NCQA).

ChartCAPTURE

Pursuing medical charts, collecting information on hybrid measures required for HEDIS® reporting, and calculating outcomes and rates according to HEDIS specifications is a yearly challenge for health plans. ChartCAPTURE offers health plans a way to retrieve and abstract the highest number of charts, increasing HEDIS rates.

HEDIS Compliance Audit - Health Plans

Health plans preparing for a HEDIS® Compliance audit or audit review look for an audit firm they can trust. Thomson Healthcare, an NCQA-licensed HEDIS auditing firm, has nationally recognized audit resources and a reputation as a trusted provider of high-quality client service, timeliness, flexibility, and sound advice.

Quality Spectrum Insight

Thomson Reuters offers Quality Spectrum® Insight (QSI), NCQA-certified HEDIS® reporting software by Catalyst Information Technologies, Inc. a standalone tool that derives performance measure results, which adhere to the annually updated NCQA HEDIS guidelines.