quality intelligence

powerful and innovative

Quality Intelligence is our software for measuring, reporting, and improving HEDIS® compliance. Using Quality Intelligence, health plans can determine what drives changes in HEDIS and other quality metrics with the greatest transparency and flexibility.

At the same time, this powerful software reduces quality measurement and reporting workflow to its most efficient and effective point. With a smarter, smoother process in place, plans can both ease the burden of seasonal HEDIS reporting and implement a year-round measurement and reporting program that significantly improves health plan rankings.

features


chase logic

Using multiple and customizable data points, we can fine-tune our chase logic to the most accurate degree in the industry, so you target the right providers and records, optimize resources, and minimize expense.

transparent data model

With visibility and insight at every level—from the initial claim to intermediate tables for measure processing to the final results—you know exactly where to find your best improvement opportunities.

ease of use

  • Drill down to member-level claim detail for optimal insight and analysis
  • Take advantage of intuitive medical record review templates for data entry
  • Create HEDIS submission files simply and efficiently
  • Customize views to display the most meaningful data and facilitate smooth workflows
  • Create and customize reports easily for deeper insights into how to improve provider-related and other key metrics
  • Set goals and benchmarks to monitor progress in real time

benefits


Because every health plan is unique, Verscend provides a comprehensive and flexible solution that allows you to measure and report on quality in your own way:

  • Secure digital platform that minimizes your resource burden, as well as a stand-alone technology option
  • A single resource to analyze and report HEDIS and HEDIS-related metrics, including the Medicare Advantage Star Rating System, CAHPS survey, the Integrated Healthcare Association’s California Pay for Performance (P4P) program, the Qualified Health Plan (QHP) Quality Rating System (QRS), and custom and state-specific measures
  • Integrated retrieval, abstraction, analysis, and reporting capabilities for end-to-end support, or help in your specific area of need

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

Get a Demo

Complete the form below: