NYCHSRO/MedReview has conducted HEDIS/QARR reviews for several clients over the past eighteen years. The key to our success is the quality and accuracy of our medical review team.


  • QARR stands for Quality Assurance Reporting Requirements

  • QARR is the New York State Department of Health’s version of HEDIS, which is the national Health Plan Employer Data and Information Set

  • QARR is a set of performance measures that health plans must report, on an annual basis, to NYSDOH under Medicaid, Family Health Plus and Child Health Plus

  • QARR data includes performance measures related to many preventive health conditions and services such as cancer, heart disease, depression, hypertension, asthma, diabetes, well care visits and age appropriate immunizations, etc.


  • MedReview conducts both in-house and on-site HEDIS/QARR measure specific data collection and performs the clinical review

  • Reviews are conducted by Registered Nurses with at least three years of experience and training in New York State’s Health Information System data abstraction

  • All abstracted data collected is 100% quality assurance reviewed

  • MedReview specializes in large health care systems as well as small single physician practices and has had extraordinary success in restoring non-compliant sites to full compliance

  • Once “pull lists” are generated, site visits are scheduled in a timely and professional manner with individual record and review integrity maintained until transferred to the client

  • MedReview’s completed audits and recommendations and assist plans in obtaining higher scores on performance measures.

  • MedReview provides weekly updates to our clients on the status of the review process

  • Each client is assigned a program manager who will be there liaison throughout the project. Each client also has dedicated RN’s that are assigned solely to their project

  • MedReview is available to assist Health Plans with Pre-QARR reviews, and Quality projects throughout the year.

For more information, click here.