Quality Measure Reporting
Quality Abstraction Capabilities enabling Helathplans improve HEDIS, STAR and ACO Measures.
Our team of Nurse Practitioners and Coders abstract and accurately report on all HEDIS measures (as per NCQA technical specifications) related to Health Plans’ P4P and Star Program initiatives. At the Visionary RCM are trained to Abstract Medical Records, Medical Record Abstraction, HEDIS Consulting and is the best in assessing clinical quality measure reporting.
Key Services:
- Measures for Medical Record Data collection.
- Adult BMI Assessment, Medication reconciliation post discharge, Care of Older Adults, Comprehensive Diabetic Care, Colorectal Cancer Screening, Cervical Cancer Screening, HEDIS Consulting, etc.
- Abstract Medical Records, Medical Record abstraction on collected data.
- Over Read & Validation
Why VRCM:
- Track record of executing HEDIS abstraction for 20 measures in the past
- Over 95%+ accuracy
- Over 100 certified Nurse Practitioners and clinical coders
- Robust training program developed by HEDIS technical experts
- Stringent IRR policies and procedures
VRCM provides medical record review services with significant cost savings to MSSP and Pioneer ACOs. We offer quality measure reporting using the CMS GPRO program.
Key Services:
- Reporting by measure , member and provider.
- Medical record review based upon GPRO narrative measures specification for clinical Modules – Care Coordination/Patient Safety, Preventative Care, Diabetes, Hypertension, IVD, Heart Failure, CAD.
Why VRCM:
- First mover advantage for the Client
- Robust training program with detailed process flow for ACO measures
- Stringent reliability audits supervised by RN’s
- 95%+ accuracy with flawless execution and outstanding customer support