HEDIS Abstraction Services
Annova Solutions provides comprehensive HEDIS abstraction services designed to improve healthcare quality reporting and compliance. Our structured approach ensures precise data collection, validation, and reporting, enabling health plans and providers to meet NCQA and CMS performance measures efficiently. Through our technology-driven solutions and expert abstraction methodologies, we help healthcare organizations optimize Star Ratings, enhance risk adjustment accuracy, and ensure seamless integration with value-based care initiatives.
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Our Comprehensive
HEDIS, Stars, and Quality Measure Services
Annova Solutions offers a full suite of HEDIS abstraction, Star Ratings optimization, quality measure abstraction, and gap analysis to support health plans and providers in achieving compliance and improving performance. Our expert-driven approach integrates advanced analytics, seamless EHR connectivity, and regulatory adherence to ensure precision in quality reporting while reducing administrative burdens.
- Quality Measures Abstraction streamlines data collection from medical records and claims, ensuring comprehensive and accurate reporting aligned with NCQA and CMS guidelines. By integrating automation with expert validation, we enhance reporting efficiency and minimize documentation errors.
- Quality Gap Analysis proactively identifies missing screenings, overdue treatments, and underperforming quality metrics. Through data-driven insights and targeted interventions, we help healthcare organizations close care gaps, optimize HEDIS scores, and improve patient engagement.
- HEDIS Abstraction provides thorough, NCQA-compliant data validation and chart review processes to ensure accurate reporting and audit readiness. Our abstraction methodologies help healthcare organizations align with regulatory expectations and improve Star Ratings and risk adjustment accuracy.
- Star Ratings Optimization focuses on improving performance measures that directly impact CMS incentives and reimbursements. By implementing proactive quality interventions and strategic data analysis, we enable health plans to elevate Star Ratings and enhance member satisfaction.
Key Benefits
HEDIS Compliance & Star Ratings Optimization
Annova Solutions ensures NCQA and CMS-compliant HEDIS abstraction, helping organizations meet stringent quality reporting requirements. Our data validation and precision-driven processes optimize Star Ratings and quality performance, directly impacting reimbursements and regulatory compliance.
Improved Quality Metrics & Care Gap Closure
Through comprehensive HEDIS data abstraction and analysis, we identify and address gaps in preventive care, chronic disease management, and screenings, ensuring higher quality scores and better patient health outcomes.
Streamlined Data Integration & Automated Reporting
Our seamless EHR and claims system integration enhances the efficiency of HEDIS abstraction, quality measure reporting, and data validation, ensuring minimal manual intervention and faster reporting cycles.
Risk Adjustment Accuracy & Financial Impact
By accurately capturing HCC codes and risk-bearing conditions within HEDIS abstraction, Annova Solutions strengthens risk adjustment strategies, leading to optimized reimbursements and enhanced financial performance.
Audit-Ready Documentation & Regulatory Adherence
We ensure thorough documentation and real-time data validation to support audit readiness for NCQA, CMS, and other regulatory bodies, reducing compliance risks and improving quality oversight.
Scalable, Custom-Fit HEDIS Solutions
Our tailored, scalable solutions adapt to the unique requirements of health plans, providers, and ACOs, supporting a data-driven approach to long-term quality improvement and performance excellence.
Who We Serve
At Annova Solutions, we serve a diverse range of healthcare organizations, each with unique needs:
FAQs
HEDIS abstraction is the process of collecting and validating healthcare quality measures to support regulatory reporting and value-based care performance. It ensures compliance with NCQA and CMS guidelines while improving Star Ratings and financial outcomes.
We use structured workflows, AI-driven analytics, and experienced abstractors to streamline data collection, reduce administrative burden, and improve turnaround times for HEDIS measure abstraction.
Our integrated approach ensures accurate risk capture by aligning HEDIS data with risk adjustment coding, enabling payers and providers to optimize reimbursements and compliance.
Yes, we provide seamless integration with provider EHRs, payer reporting systems, and chart retrieval processes, ensuring efficiency and minimal disruption to existing workflows.
In addition to measure abstraction, we provide regulatory compliance assistance, care gap identification, population health analytics, and AI-powered performance tracking to optimize quality reporting and patient care outcomes.