HEDIS Abstraction Services
MedCode supports HEDIS abstraction for health plans and providers. Our team helps organizations stay on schedule with reporting while also improving quality scores.
Our abstractors follow NCQA standards closely, using their training and experience to keep every record accurate. The team retrieves medical records, validates each data point, and provides ongoing updates to keep clients informed throughout the process.
Trusted by 1000+ Companies
Partnering with Providers for HCC Accuracy
Ways payers can build productive partnerships include
Address past challenges
Acknowledge past misalignments and demonstrate commitment to supporting providers. Clear, honest communication really matters. When teams get to see transparency and openness concerning past mistakes or misalignments, they get encouraged to work together.
Work with purpose
Approach HCC coding as a shared goal, not just a compliance task. Show how complete documentation benefits everyone.
Practical training
Using real chart reviews and current coding trends as a base for practical training purposes makes it more relatable. Also, hands-on examples make learning relevant and actionable.
Align financial incentives
Reward accurate and complete coding instead of focusing on patient volume alone, thus boosting the significance of thoughtful coding.
Support preventive care
Complete documentation can often shed light on opportunities for screenings, chronic disease management, and preventive interventions that might otherwise get missed.
Foster mutual accountability
Mutually shared responsibility ensures both payers and providers are invested in capturing the full clinical picture, leading to prompt spotting of errors and improvement of RAF scores.
How MedCode Delivers HEDIS Abstraction Excellence
We bring together a blend of skilled abstractors, standardized workflows, and advanced tools to manage large-scale HEDIS data abstraction projects. Each chart is reviewed in detail to capture all relevant data for HEDIS measures. We combine expert reviewers with smart tools. This approach enhances reporting accuracy, alleviates staff workload, and facilitates the closure of care gaps more efficiently.
Pain Points We Help Healthcare Teams Overcome
- During peak abstraction periods, chart volumes surge to levels that can quickly overwhelm internal teams.
- One of the common struggles is aligning the clinical notes and patient details. When alignment is lacking, reporting becomes inconsistent and unreliable.
- Reporting is often disrupted by variations in provider documentation, which directly impact accuracy.
- NCQA audits add constant pressure, and poorly organized data can hurt Star Ratings.
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Our Core HEDIS Abstraction Services
Analytics and RAF tracking aren’t just numbers they’re tools that reveal patterns, which further help payers pinpoint coding gaps and guide decision-making in real time.
Medical Record Retrieval
Securely collecting member records from both electronic and paper-based sources.
Chart Review & Data Abstraction
Thorough abstraction across all HEDIS chart abstraction measures, supported by structured consistency checks.
Gap Identification
Flagging missing records and care gaps, giving providers the chance to improve documentation and patient outcomes.
Hybrid Abstraction Support
Managing both administrative and medical record reviews for complete and accurate reporting.
Audit Readiness
Delivering audit-ready documentation that meets NCQA and payer expectations.
Standardize RAF tracking
Integrating monitoring into operational reporting keeps insights actionable and consistent.
MedCode’s Strength in HEDIS Abstraction
HEDIS abstraction is never just a chart review. What matters is pulling out the right information and making sure it’s useful for reporting and care programs.
MedCode sets itself apart by offering
- Teams with NCQA-certified abstractors who handle every type of HEDIS measure.
- Day-to-day tracking that helps catch gaps early instead of waiting until the deadline crunch.
- Processes built to move quickly but without losing accuracy.
- Flexible staffing that expands when chart volumes rise.
- Reviews that hold up to NCQA and payer audits.
Frequently Asked Questions
By closing care gaps and ensuring reliable reporting, it strengthens overall performance scores and payer compliance.
With certified staff, multiple review steps, and workflows built for compliance, we make sure the data is accurate and useful.
Health plans, providers, and healthcare organizations seeking better Star Ratings and NCQA compliance benefit the most.
Turnaround times vary by chart volume, but our team is structured to manage large-scale projects with dependable speed and accuracy.
Optimize Your HEDIS Abstraction with MedCode
Choose MedCode as your HEDIS abstraction partner to ensure accurate reporting, audit readiness, and on-time results. Contact us today to see how our team can support your next reporting cycle.
