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