our services

NCQA HEDIS® Compliance Audits™

Our auditors take an approach that is collegial, collaborative and flexible. Our auditors work closely with health plans in identifying and resolving issues that may impact reporting.

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Medicare Part C and Part D Data Validation Audits

This section provides an explanation of our knowledge of and experience with Part C and Part D reporting requirements, technical specifications and data validation services.

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California IHA Pay for Performance (P4P) Audits

Our audit team has been conducting IHA Pay for Performance audits since the inception of this program in 2004. P4P audit clients have expressed high satisfaction rates with our services.

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NCQA Wellness and Health Promotion (WHP) Technical Specifications Compliance Audit™

Aqurate Health Data Management’s NCQA-certified auditors have the expertise required to conduct the audit and assist your organization in achieving and maximizing reportable measures and rates.

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HEDIS consulting services and Systems review

Aqqurate team are experienced in conducting end-to-end systems and process review in order to identify root causes that are negatively impacting the HEDIS rates. Aqurate team is knowledgeable and experienced in identifying issues that are specifically related to HEDIS measures.

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Chart Abstraction Services

Aqurate's qualified nurse reviewers are experienced chart abstraction for a wide variety of projects, including HEDIS chart abstractions. We provide training to these nurses annually and update them with the technical specifications and rules that are specific to each project. We are positioned to accept large chart abstraction projects on short notice.

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NCQA Accreditation and Certification Consulting Services

Experience with other NCQA accreditation and certification programs, including Disease Management accreditation, Case Management accreditation, and Patient Centered Medical Home (PCMH) Certification.more info

PRIME Audits

The Public Hospital Redesign and Incentives in Medi-Cal (PRIME) program is a pay-for-performance program and part of the Medi-Cal 2020 waiver approved by CMS in December 2015. The PRIME program is organized into three domains, with projects under each domain and individual metrics in each project: more info

Performance Measure Validation Services for External Quality Review (EQR)

Aqurate Health Data Management has been offering services to External Quality Review (EQR)
organizations to assess compliance.

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CMS Medicare Compliance Program Audits

Our staff has thorough knowledge of CMS requirements and experience in conducting Medicare Compliance Program audits.more info

ENCOUNTER DATA VALIDATION (EDV)

Aqurate staff has over 10 years of experience in working with EDV projects.

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State and Federal Regulatory Compliance Preparation

Aqurate has extensive experience in State and Federal regulatory compliance preparation.

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