How Meditab’s QRA Team Makes HEDIS Compliance Hassle-Free

    Posted by Jan Dalisay

    Expanding your HEDIS efforts can feel overwhelming, and it’s easy to understand why. 

    With more than 90 measures spanning various aspects of care and updates every year, keeping up with HEDIS requirements can be daunting for clinics and medical practices. The pressure to gather and monitor multiple performance indicators at once can quickly become time-consuming, increase the risk of penalties, and even lead to staff burnout.

    While value-based care is undoubtedly beneficial for patients and practices, focusing on compliance reporting can pull you away from what matters most—delivering excellent patient care. But it doesn’t have to be this way.

    With Meditab’s Quality and Risk Adjustment (QRA) team by your side, you can transform HEDIS compliance from a burden into an opportunity for growth. You can focus fully on your patients, knowing that your regulatory needs are in capable hands—without sacrificing time, energy, or resources. 

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    The Challenges of HEDIS Compliance

    HEDIS metrics are reshaping performance reporting, and whether you find it beneficial or challenging, one thing is clear: HEDIS is here to stay. 

    So, it’s vital to recognize the challenges practices like yours face and to find tailored solutions that work for your team. Here are the main factors that make meeting HEDIS requirements more difficult:

    Administrative Burden

    Collecting accurate data for HEDIS measures involves thorough medical record reviews, which can be labor-intensive. Many medical practices still rely on manual processes, which affects the practice's overall efficiency.

    Also, the administrative workload associated with performance reporting can contribute to provider burnout. Many physicians express frustration over the "busy work" related to data entry and reporting—and rightly so as it detracts from patient care. 

    Common Pitfalls

    Low HEDIS scores lead to significant financial penalties. Such outcomes translate into missed reimbursements ranging from thousands to millions of dollars for clinics with large health plans. 

    Healthcare tech experts recommend using advanced IT solutions like electronic health records (EHR) systems. This approach makes sense for EHRs with automated data collection and reporting capabilities. But here's the caveat: transitioning to these systems requires investment and tailored training.

    Webinar Alert!

    Master your HEDIS compliance audit program with insights from our recent webinar, held last August 27, 2024. This practical resource covers:

    • Introduction and impact of HEDIS on your practice
    • Understanding your role 
    • Key highlights for HEDIS MY 2024
    • Updates to HEDIS measures
    • Strategies to improve your HEDIS score
    • Live Q&A session

    Not a client? Reach out to us at 1-844-463-3482 to learn more about our HEDIS expertise!

    Meditab’s Tailored Support

    Our QRA team provides customized HEDIS training for clinicians and staff

    While following HEDIS guidelines is crucial for quality care and financial incentives, it can feel overwhelming due to the significant resources it demands.

    However, clinics that take a proactive approach—improving data management, investing in the right technology, and partnering with compliance experts—are better positioned to meet HEDIS standards with less stress.

    With the proper support, your practice can continue delivering excellent care without being weighed down by reporting demands.

    Personalized Approach for Your Practice

    Payers use HEDIS measures to track:

    • How often clinicians conduct important screenings for chronic diseases
    • How often patients use healthcare services, such as doctor visits or procedures

    These measures help ensure that patients receive complete care, but in terms of complying, it can be a lot to manage. The key to meeting current and new measures is selecting the proper HEDIS measures that align with your practice.

    With Meditab’s Quality and Risk Adjustment (QRA) team, you receive expert and tailored guidance to excel in the areas that matter most to your patients and performance. We tailor packages designed to fit your specific requirements:

    • HEDIS Set Up & Training Package

    We start by setting up your HEDIS framework and providing full staff training, so your team feels prepared right from the beginning.

    • HEDIS Complete Package

    Our complete support package offers everything you need—from setup and training to attestation guidance and audit assistance.

    • HEDIS Full-Time Package

    Need ongoing help? With this option, you’ll have a dedicated remote staff member to handle all your HEDIS tasks eight hours a day, five days a week.

    Contact us at 1-844-463-3482, and we’ll walk you through finding the ideal HEDIS package for your clinic’s needs.

    Tech Tip: 

    When choosing a practice management or EHR platform, it’s important to ask how they keep their HEDIS tools up-to-date with new measures, changes to existing ones, and any reporting improvements. 

    Staying current with these updates ensures your practice meets compliance standards without added stress or effort.

    Success Story: Clinica Medica General

    For over 35 years, Clinica Medica General has served the Los Angeles community through quality care services. In 2019, CMG expanded its medical services to better serve the community’s diverse health needs.

    In this context, Mayuri Patel shares how the QRA team has helped their team enhance overall efficiency, supporting their commitment to excellence in patient care.

    “The Meditab QRA team has played a huge role in improving the overall efficiency of our clinic. They have provided us with monthly reports and identified the missed measures so we could follow up on them and elevate our HEDIS scores.”

    Mayuri Patel, Clinica Medica General 

    Harnessing the Financial Benefits of QRA Solutions

    Our attestation expert showcases revenue growth powered by Meditab’s QRA services

    Streamlining data collection and investing in advanced EHR systems is key to reducing provider burnout and avoiding pitfalls like low HEDIS scores or missed reimbursements. 

    A personalized approach to HEDIS compliance, supported by Meditab’s QRA team, ensures your practice meets the most relevant measures and strict deadlines with ease. We invite you to contact us for a consultation—let’s work together to find the right level of expert support that fits your practice and make HEDIS compliance a hassle-free experience for you!

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