HEDIS/QARR Reviews

Achieve higher quality scores and revenue while closing care gaps.

With a proven track record of helping health plans improve their quality scores, MedReview provides encounter data collection and medical record abstraction services to accurately document the provision of compliant care for annual reporting by both HEDIS (Healthcare Effectiveness Data and Information Set) and QARR (Quality Assurance Reporting Requirements).

HEDIS

The HEDIS performance improvement tool is used by more than 90 percent of U.S. health plans to measure performance on important dimensions of care and service. The wide adoption of HEDIS and specificity of its measures makes it a useful tool for comparing health plans on an apples-to-apples basis.

QARR

QARR is the New York Department of Health’s public reporting system for health plan quality. QARR collects quality and satisfaction measures for all plans in the state of New York and publishes an annual report on their performance. MedReview provides numerous medical review and quality surveillance services to various government agencies in New York State and New York City.

All our abstracted data is 100% quality assurance reviewed by highly skilled and experienced abstraction nurses with at least three years of experience and training.

Trained using the very latest technical specifications published by NCQA and familiar with multiple HEDIS software applications, our abstraction nurses focus their collection efforts on measures deemed to be the highest priority by the plan. This approach has yielded very positive results. In fact, every health plan we have worked with has passed their validation audit on the first submission.

MedReview works with health providers of all sizes, from large multi-site healthcare systems to small clinical practices with only one physician. Regardless of the size and complexity of the provider, MedReview has been extraordinarily successful at retrieving records in a timely and professional manner, while protecting the integrity of individual records until they are transferred to the client and entered into the HEDIS system.

Health Providers
Health Providers
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