Software
Compliance Reporter
A robust reporting and workflow management tool for payers that want to streamline and increase their Healthcare Effectiveness Data and Information Set (HEDIS®) quality measurement and reporting activities.
AmplifyYour HEDIS Activities
- Simplify the complete hybrid review process through our NCQA-certified HEDIS quality rules processing engine. Generate samples, manage medical record abstractions, and create data submission files.
- Support medical record review activities with online data collection. Central data repository holds claims, membership, enrollments, lab, and pharmacy data, plus scanned charts.
- Use web-based workflows to allocate chart reviews manually or systematically by location. Isolate measure-level and member-level detail for further research using powerful audit tools.
- Eliminate time-consuming manual coding and measure updates with automated processes. Certify final hybrid rates within minutes, rather than days.
- Increase efficiency throughout the HEDIS lifecycle. Create your CAHPS® survey sample frame in a few clicks. Manage both your HEDIS and analytics drawing from the same input files, with Risk Manager.
- Receive up-to-the-minute results with in-line rate calculation. Quickly generate NCQA IDSS data files, the CMS-required PLD submission file, and Medicare patient-level data for final submission.
Simplified Collection, Review, Submission, and Reporting
Our outcomes
PRODUCT SUPPORT
Need support for
this solution?
Explore related solutions
Join Community discussions
Find and share knowledge, exchange ideas, and collaborate with peers and Change Healthcare experts to drive your solutions to success.