Note: NCQA has updated the naming convention of HEDIS publications to refer to the measurement year (MY) for HEDIS measures. Read more about the HEDIS schedule change here.
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.
Please order carefully! A processing fee of 15% of the total returned items will be charged for all returns, exchanges and credits. For assistance in ordering, contact NCQA Customer Support at (888) 275-7585.
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