HEDIS Audit Support and Consulting

Increase Your Practice Revenue Up to 10%

• eSOFTm Health Plan Solutions is dedicated to aiding healthcare organizations in optimizing data for performance evaluation and regulatory compliance reporting, utilizing industry-standard metrics.
• To achieve this, eSOFTm has assembled a specialized team committed to addressing the requirements of healthcare organizations mandated to report rates to state, federal government agencies (including the Centers for Medicaid and Medicare Services), and other vendors.
• DATA OPTIMIZATION AND THE HEDIS AUDITING PROCESS
• eSOFTm has been offering HEDIS-related services for nearly two decades. Our reporting practices continually evolve, leveraging the latest technological advancements to enhance our core service. The eSOFTm team possesses comprehensive understanding of the HEDIS auditing process, drawing from experience across client, vendor, and auditor perspectives.
• HEDIS AUDIT CONSULTING SERVICES IN THE USA
• The eSOFTm HEDIS team advocates for a hands-on approach to HEDIS reporting and consulting services, prioritizing cost-effectiveness, time efficiency, and the attainment of higher HEDIS scores and improved compliance for clients.
• eSOFTm HEDIS solutions are tailored to meet the unique needs of each client. Typically, these solution packages encompass a range of eSOFTm HEDIS Consulting and audit support services, aiding clients in achieving ongoing HEDIS compliance:
• HEDIS medical record training and proficiency testing
• Compilation of the Roadmap
• Project management and liaison with auditors
• HEDIS Audit preparation and mock audits
• HEDIS rate analysis, consulting, benchmarking, and rate improvement consulting
• Design and assessment of quality improvement interventions