HEDIS Abstraction

HEDIS Abstraction

Measuring health care performance is critical for health plans to better evaluate the level of service their providers deliver, identify performance gaps and make any needed changes to cultivate continued customer satisfaction and loyalty.

The Healthcare Effectiveness Data and Information Set (HEDIS) is widely used to measure and report on health care performance. Health plans that want to obtain accreditation via HEDIS must gather data about patient care, organize it into specific measures defined by HEDIS and determine if specific criteria for HEDIS measures have been met.

By following best practices in medical record gathering, managing, abstracting and reporting, companies can streamline the process, reduce costs and improve reliability. In particular, Mercury Global will provide the following:
  • HEDIS Abstraction Services - Accurate measure abstraction is essential to the successful completion of the review process.  
  • Detailed Audit of Records - The audit determines if the quality of care measures, as defined by HEDIS, have been met.
  • HEDIS Reviews - Reviews cover measures across the domains of care.
  • Patient Specific Scorecards - Scorecards are provided for each measure identified by the health payer.
  • Reporting - A variety of formatted reports are available to the health plan to provide project visibility.