Marketplace Quality Rating System (QRS) Audit and Support

Marketplace Quality Rating System (QRS) Audit and Support

Advent is conducting audits of organizations required to submit data to the Centers for Medicare & Medicaid Services (CMS) under the Affordable Care Act (ACA).

Providing Value-Based and Results-Oriented Audits

All Qualified Health Plan (QHP) issuers operating a Health Insurance Marketplace (including CO-OPs) must report both the Quality Rating System (QRS) measures and the QHP Enrollee Experience Survey by state and product type. QHP issuers with more than 500 enrollees as of July 1 are required to collect and submit audited data to CMS.

Advent is recognized within the industry as the leading NCQA-licensed organization. We offer value-based, results-oriented compliance audits designed to help drive Marketplaces to improve QRS measure results and enrollee satisfaction.

Resources

Additional CMS resources regarding QRS reporting can be found on CMS’ website for QRS quality reporting.

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What Our Clients Say

“[Our auditor] was superb; she worked very closely with me to lay out the best workplan for our organization.”

What Our Clients Say

“[Our auditor] was very knowledgeable and was able to tie back any issues to the tech specs and reporting requirements in a way that made it simple and easy to understand.”

What Our Clients Say

“[Our auditor] was especially helpful in navigating the new and difficult world of Marketplace requirements.”

What Our Clients Say

“[Our auditor] was superb; she worked very closesly with me to lay out the best workplan for our organization.”

What Our Clients Say

“Advent's goes above just making sure our data is submitted timely and correctly. They genuinely care about helping clients improve the way they engage members, providers and data to ensure that our members get the best quality of care and that our plan is regarded as such.”

What Our Clients Say

“I am very satisfied with the overall experience working with Advent!”

What Our Clients Say

“[Our auditor] was very knowledgeable and was able to tie back any issues to the tech specs and reporting requirements in a way that made is simple and easy to understand.”

What Our Clients Say

“Our questions are answered almost immediately. We feel like we are Advent's only client.”

What Our Clients Say

“From initial engagement to contracting to audit services, Advent has been professional and a good partner.”

What Our Clients Say

“[Our auditor] was especially helpful in navigating the new and difficult world of Marketplace requirements.”

What Our Clients Say

“I value the partnership and knowledge of our audit team. In addition to ensuring that we are doing what we need to do to make sure we are compliant, the knowledge that is provided helps us to improve year over year. This is especially helpful for our new organization.”

What Our Clients Say

“We have recommended Advent to other companies and consider Advent for any future projects where they can contribute.”

What Our Clients Say

“[Our auditor] spectacular to work with at every step of the reporting process.”

What Our Clients Say

"Wouldn't change anything."

What Our Clients Say

"The tools Advent uses for the audit help keep us on track and well organized."

What Our Clients Say

"Everything is perfect"

What Our Clients Say

"Continue as is!"

What Our Clients Say

"Continue the great work and information sharing."

What Our Clients Say

"Continue to provide access to subject matter experts on new topics as they arise."

What Our Clients Say

"I value the partnership. While I recognize Advent's role as the auditor, I always feel like we can problem solve and make things better together."

What Our Clients Say

“[Our auditor] was superb; she worked very closely with me to lay out the best workplan for our organization.”

What Our Clients Say

“[Our auditor] was very knowledgeable and was able to tie back any issues to the tech specs and reporting requirements in a way that made it simple and easy to understand.”

What Our Clients Say

“[Our auditor] was especially helpful in navigating the new and difficult world of Marketplace requirements.”

What Our Clients Say

“[Our auditor] was superb; she worked very closesly with me to lay out the best workplan for our organization.”

What Our Clients Say

“Advent's goes above just making sure our data is submitted timely and correctly. They genuinely care about helping clients improve the way they engage members, providers and data to ensure that our members get the best quality of care and that our plan is regarded as such.”

What Our Clients Say

“I am very satisfied with the overall experience working with Advent!”

What Our Clients Say

“[Our auditor] was very knowledgeable and was able to tie back any issues to the tech specs and reporting requirements in a way that made is simple and easy to understand.”

What Our Clients Say

“Our questions are answered almost immediately. We feel like we are Advent's only client.”

What Our Clients Say

“From initial engagement to contracting to audit services, Advent has been professional and a good partner.”

What Our Clients Say

“[Our auditor] was especially helpful in navigating the new and difficult world of Marketplace requirements.”

What Our Clients Say

“I value the partnership and knowledge of our audit team. In addition to ensuring that we are doing what we need to do to make sure we are compliant, the knowledge that is provided helps us to improve year over year. This is especially helpful for our new organization.”

What Our Clients Say

“We have recommended Advent to other companies and consider Advent for any future projects where they can contribute.”

What Our Clients Say

“[Our auditor] spectacular to work with at every step of the reporting process.”

What Our Clients Say

"Wouldn't change anything."

What Our Clients Say

"The tools Advent uses for the audit help keep us on track and well organized."

What Our Clients Say

"Everything is perfect."

What Our Clients Say

"Continue as is!"

What Our Clients

"Continue the great work and information sharing."

What Our Clients Say

"Continue to provide access to subject matter experts on new topics as they arise."

What Our Clients Say

"I value the partnership. While I recognize Advent's role as the auditor, I always feel like we can problem solve and make things better together.

"

Advent Advisory Group Corporate Offices
Phone: 877.237.0190
PO Box 94
Northport, NY 11768

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). HEDIS Compliance Audit™ is a trademark of the National Committee for Quality Assurance (NCQA).

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