Next Gen Business Solutions HEDIS Coding services, which focus on assisting managed care organizations (MCOs) with reporting valid HEDIS measures. With experience administering HEDIS Compliance Audits across the Medicaid, Medicare, and commercial product lines, our audit team provides MCOs with valuable expertise and insight to HEDIS protocol and methodology. In addition, we also perform HEDIS Compliance Audits for Preferred Provider Organizations (PPOs) and provides mock-audit services for those gearing up to report HEDIS measures.
- Our coder has experience with all CMS and State-required measures
- We work with auditors to resolve issues on any records to maximize HEDIS rates
- Vigorous primary, secondary, and tertiary pursuits processes to maximize HEDIS rates
- Our volume-driven per-report pricing model will reduce your operational cost
- Next Gen Business Solutions is a practical solution for your HEDIS coding needs to improve coding accuracy, documentation and reduce your compliance exposure.