HEDIS® Auditing

HEDIS® Auditing

We are among the largest of HEDIS® audit firms and have completed thousands of HEDIS® audits since the inception of auditing in 1998. They include NCQA HEDIS® Compliance Audit™ and HEDIS® Align. Measure. Perform. (AMP) Audit Reviews. Our relationship with the National Committee for Quality Assurance (NCQA) is integral to our services and has been in place since NCQA was established. In addition, we have extensive HEDIS® audit experience with state governmental agencies.

HDC works closely with our clients through every step of the HEDIS® auditing process. The typical HEDIS® audit starts with contracting in November and our Annual Client Conference call following in December. Most of the audit is then conducted between January and June, with Final Audit Reports being issued in July.

HEDIS® Compliance Audit™

When we complete an audit, we deliver more than just the minimum requirements and more than the required elements of the reports. In all, we deliver:

  • Detailed reports that contain the results of the current audit and recommendations for improved results.
  • Information on best practices we have gained from our experiences with others that we can share with you.
  • Advice on possible ways to resolve any issues or problems that may have surfaced during the audit.

Auditing Process

Each report delivers useful information about the audit process and the status of internal processes, as well as our recommendations. We make it a point to bring you the actual information you need, not just reprints of HEDIS® specification pages.
After audit season ends, the relationship continues. We maintain an email dialogue throughout the year. When we get an email or policy update from NCQA, we share it with you in a succinct monthly email format.

Even though we deliver premium service, we do not charge premium fees. We are extremely cost-competitive, and offer discounted multi-year contracts. Our contracts are written in an all-inclusive format, we will not charge incremental fees “in-season” unless we have agreed with our client to add a service. There are never any surprise fees for a la carte services.

For more information related to HEDIS® auditing, see NCQA’s website

Why Choose HDC?

Founded in 1989

Year-long support services

Long-term professional team

Large Network in the Audit community

Centralized processes to promote efficiency

Contact Us

For more information on our experience, resources and services, contact:
Paul Ackroyd at pjackroyd@hdcdata.com or send a message below.

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