Health plans must submit audited HEDIS data to achieve NCQA Accreditation and/or meet employer expectations. HEDIS Compliance Audit Standards, Policies and Procedures describes in detail the methodology used for auditing a health plan’s data collection programs, calculation processes and HEDIS measure results. This Volume also includes the standards and guidelines for assessing a health plan's information systems capabilities, and the standards and guidelines used to evaluate a plan's ability to comply with HEDIS specifications.
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