More than 90% of health plans in the United States use the Health Effectiveness Data and Information Set (HEDIS) to objectively measure performance across a wide range of important healthcare interventions and outcomes, and report HEDIS data to the National Committee for Quality Assurance (NCQA) to continuously improve and demonstrate the quality of care they provide to commercial, Medicare, Medicaid and Exchange members.
The NCQA requires health plans to validate HEDIS data by retaining an independent, NCQA-Licensed Compliance Audit Organization and Certified HEDIS Compliance Auditors (CHCA) to perform the HEDIS Compliance Audit™ standardized methodology.
Advent is an industry leader in HEDIS compliance audits. Members of our staff have been performing HEDIS audits since the inception of the audit program, and prior, with NCQA on the audit pilot program in the 1990s. Advent's HEDIS audit team includes 11 Certified HEDIS Compliance Auditors (CHCA) as well as analysts, programmers and clinicians who are all Advent employees. Our certified team of skilled professionals are highly experienced and seasoned professional staff with at least 15 years of experience and most with over 25 years of healthcare experience. Together, with our expertise on HEDIS® and other NCQA-governed audits, Advent’s innovative audit processes enable health plan clients to report optimized and accurate rates with increased efficiency and decreased burden for their staff.
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.
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.
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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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