HEDIS® Compliance Audit™ and Support

Advent’s technical expertise and innovative audit processes enable clients to report the best, most accurate rates with increased efficiency and decreased burden.

Advent audits 1 out of every 4 HEDIS® data submissions nationwide

More than 90% of health plans in the United States use the Health Effectiveness Data and Information Set (HEDIS®) to objectively measure performance across a wide range of important health interventions and outcomes, and report HEDIS data to the National Committee for Quality Assurance (NCQA) to continuously improve and demonstrate the quality of care they provide.

ncqaLogoThe NCQA requires health plans to validate HEDIS data by retaining an independent, NCQA-Licensed Compliance Audit Organization and Certified HEDIS Compliance Auditors (CHCA) to perform the HEDIS® Compliance Audit™ standardized methodology.

With 10 certified auditors on staff, Advent Advisory Group is an industry leader in HEDIS compliance audits. In fact, of the nine organizations that are licensed by the NCQA to conduct these audits, Advent audits nearly 25% of these submissions nationwide.

Why do so many health plans choose Advent?

Pioneering Experience
We don’t just follow the NCQA’s standardized audit methodology, we helped create it. Members of our team have been conducting HEDIS audits since before the inception of the HEDIS Compliance Audit program, played an active role in structuring and refining the program when it was introduced in 1997, and were among the first to receive NCQA auditor certification.

Since then we have audited thousands of HEDIS reports submitted by commercial, Medicare and Medicaid plans throughout the country.

Client-Centered Focus
While HEDIS measures are used to compare health plans on a level playing field, Advent understands that there is no one-size-fits-all approach to helping our diverse clients accurately measure and demonstrate quality improvement.

Advent’s client-centered approach starts with understanding where you are today and clarifying goals and objectives for tomorrow, transforming client relationships into trusted partnerships that achieve the best possible results.

Our teams build personalized relationships and work collaboratively with you to develop a streamlined, client-specific audit program that:

  • Focuses on early discovery of data needs and processes
  • Identifies areas likely to have the greatest impact on final results
  • Maximizes the number of measures that can be validly reported
  • Increases efficiency and reduces audit burden
  • Ensures accurate reporting and positive outcomes

Our proven approach, consistent results, and personalized attention and client support are why 100% of our clients say they are “very” satisfied with our services and would wholly recommend us to others.