HEDIS® Compliance Audit™ and Consulting
Advent's team of 11 Certified HEDIS Compliance Auditors approves over 600 HEDIS submissions a year
HEDIS Compliance Audit
Members of Advent’s team have been performing HEDIS audits since the 1990s and are among the first to be certified by NCQA. Our client-first approach centers around rates, data, and maximizing reporting. Advent’s clients are among the top-rated plans in the country and represent over one-third of those with 4.5+ stars.
HEDIS Consulting and Audit Support
Advent’s HEDIS consulting and audit support program focuses on data optimization to maximize rates and reportability. Services are customized to meet client-specific needs and can include all or some of the following solutions.
- Mock HEDIS Compliance Audit
- Deep-dive rate analysis
- Data gap assessment
- Supplemental clinical data acquisition
- Electronic clinical data validation (ECDV)
- HEDIS project management
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Long Term Services and Supports (LTSS) Audit and Consulting
Members of our HEDIS® team have extensive experience with Long Term Care (LTC) organizations and Managed Long-Term Services and Supports (MLTSS) plans. Our experience includes State Medicaid program audits, clinical file reviews, performance measure validation, and HEDIS audits. Our knowledge of long-term care programs coupled with our proficiency in working with organizations that are new to reporting makes us a great partner to work with to meet State Medicaid and CMS reporting requirements.
