HEDIS Reporting & Compliance Services
Elevate your healthcare quality metrics with our comprehensive HEDIS solutions. At Healthcare Revenues, we specialize in accurate data abstraction, gap identification, and seamless reporting to help you meet compliance and performance targets. Let our experts simplify the complexities of HEDIS so you can focus on delivering exceptional patient care and maximizing incentive opportunities.
Drive Quality. Maximize Incentives. Stay Compliant.
Elevate your healthcare quality metrics with our comprehensive HEDIS solutions. At Healthcare Revenues, we help practices like yours meet critical performance targets with accurate data abstraction, care gap identification, and seamless reporting—ensuring you meet payer expectations while improving patient outcomes.
Why HEDIS Matters
HEDIS (Healthcare Effectiveness Data and Information Set) is a vital set of performance measures used by insurers and regulators to track the quality of care delivered. It impacts:
Value-Based Reimbursements
Star Ratings (for Medicare Advantage)
Payer Contracts & Renewals
NCQA Accreditation
Failure to comply or report correctly can result in lost incentives, lower plan ratings, and audit risks.
What We Offer
01.
Accurate Data Abstraction
Our team reviews patient charts, EMRs, and documentation to extract and validate clinical data aligned with NCQA standards.
02.
Care Gap Identification
We detect gaps in preventive care, chronic condition management, and screenings—supporting timely interventions.
03.
Seamless HEDIS Reporting
We prepare, format, and submit data to payers in accordance with measure specifications and submission timelines.
04.
HEDIS Measure Support
From Breast Cancer Screening to Diabetes HbA1c Control, we ensure all relevant measures are accurately captured and reported.
05.
Compliance & Documentation Review
We maintain strict HIPAA standards and ensure your clinical documentation can withstand audits and quality checks.
06.
Personalized Client Support
We offer direct access to experts who understand your specific needs, ensuring personalized solutions and prompt resolutions.
The Benefits
Boost Incentive Payments
Accurate reporting maximizes your performance-based reimbursements.Improve Care Quality Scores
Track and enhance your quality measures with actionable insights.Avoid Compliance Penalties
Our documentation and abstraction processes reduce audit risk.Focus on Patient Care
Let us handle the complexities while your team delivers exceptional service.
Trusted by Providers Across
Primary Care Clinics
Pediatrics & Women’s Health
Medicare Advantage Groups
Multi-specialty Practices
Behavioral Health Providers
With access to 24/7 PRACTICE MANAGEMENT CONSULTANTS
Our expert medical billing team partners with hundreds of medical practices and healthcare centers nationwide, helping them significantly increase profitability, ensure full regulatory compliance, reduce administrative workload, and remain agile in the face of ongoing industry changes.