Quality Metrics Made Easier and More Powerful

360HEDIS

HEDIS_Certified-HEDIS-Software_MedHOK_2MedHOK’s comprehensive end-to-end solution supports all aspects of commercial, Medicare and Medicaid lines of business filings for both administrative and hybrid measures. As opposed to most other vendors offering HEDIS® solutions, MedHOK has designed its solution to be business user configurable and clients have total control of the solution. After integration and implementation, clients can choose to run HEDIS as often as they like to target, monitor, and remediate care gaps year-round. MedHOK holds full National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS) Software Certification™.

  • Real-time integration of claims and encounter data
  • Administrative claim certified production and analysis
  • NCQA compliant sampling and oversampling production for hybrid measure medical chart reviews
  • Expert and qualified medical chart review capabilities, if desired
  • Case/project management and tracking software for hybrid samples, including:
    • Frequent production of hybrid data to review progress toward fulfillment of hybrid data collection
    • Provider relevant data related to derived samples to facilitate chart identification
    • Tracking fulfillment by nurses of medical chart reviews
  • Medical chart review module that allows direct input of required data from medical chart review process and documentation upload
  • Integration of administrative and hybrid data for review and analysis
  • Production and submission of final administrative and hybrid HEDIS submissions