What We Do

HEDIS® Auditing

We are among the largest of HEDIS® audit firms in the country and have completed thousands of HEDIS® audits since the inception of auditing back in the 1990s.

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CMS Data Validation

HDC has provided DV services since the program’s inception and is among the leaders in the field. HDC is well-resourced and ready to assist 365 days per year.

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URAC Validation

HDC is one of only seven vendors nationally who are able to perform URAC validations. HDC evaluates the data collection and methodologies that enable the pharmacy to report the measures.

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Data Consulting

HDC’s consulting staff includes a wide variety of professionals ready to assist with your data development, reporting, compliance, and process improvement needs.

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AMP Compliance Audits

AMP Commercial HMO is the cornerstone upon which all IHA’s performance measurement programs were built. Initiated in 2001, the program now represents 95% of commercial HMO enrollment in the state.

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HHS Risk Validation

The validation process will help to identify data errors that affect the risk scores. HDC analyzes demographic and enrollment information and correlates it to issuer source systems. Medical records are reviewed to substantiate Hierarchical Condition Categories (HCCs), and a risk adjustment calculation is performed to identify any changes that may have occurred.

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Independent Auditor Validation

The IAV is designed to test the corrective action plans through universe integrity validation, focused sampling, and live demonstrations of processes. HPMS Memo IAV Process.

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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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