Anyone doing HEDIS??? - page 2

Is anyone out there besides me doing HEDIS this year? Last year I was assigned 800+ charts to audit. For probably 400 of those, 3 of us went to the "desert" area to do them. This year I have 1274... Read More

  1. by   nurseT
    I just responded to an add in my local paper for RN Medical Record Review. The add did mention HEDIS. I have been working from an office in my home for 1 year now and contract my services. I do anything from private duty to occas. field work for ins.co. I am familiar with HEDIS' purpose. It is similar to OASIS utilized in home health area and MDS in long term care. I have not worked specifically with HEDIS. I'm glad to talk to some other nurses in this area. I'm sure I can do this job, but it will be my first useing HEDIS. If anyone has any advice, please feel free.
  2. by   ethelbsnrn
    how much are you paid per hour/chart?
  3. by   chris_at_lucas_RN
    I'm getting ready to graduate and am also interested. How much experience should one have had before getting into chart auditing?

    Thx
  4. by   ARBY
    Quote from ethelbsnrn
    how much are you paid per hour/chart?
    Here in S. CA I get $30 an hour, that includes my travel time also. Plus we get .375 cents per mile.
  5. by   renerian
    I was paid per chart, not an hourly rate plus I was paid mileage.

    renerian
  6. by   stevierae
    Quote from ARBY
    Hi,
    Yes, HEDIS audits are time limited. They are usually done each spring and usually last 2 1/2 to 3 months (at least the ones I've done).

    We get paid by the hour but my cousin in FL gets paid by the chart. The length of time per chart depends on what we are looking for (some may only take 5 min and others we are looking for a lot more items and could take an hour) and also how well organized the documentation is. Some charts have no dividers so you have to look thru EVERYTHING rather than just go to a specific section.

    The rest of the year I occasionally do some home care work but mostly, we travel and see this great country:kiss
    Arby, if you don't mind sharing, how do you get a job like this? Does the insurance company train you, or do you have to take a course on your own, as ICD-9 coders do, before insurance companies will hire you?

    Thanks! :angel2:
  7. by   ARBY
    Quote from stevierae
    Arby, if you don't mind sharing, how do you get a job like this? Does the insurance company train you, or do you have to take a course on your own, as ICD-9 coders do, before insurance companies will hire you?

    Thanks! :angel2:
    My cousin, also an RN, alerted me to HEDIS chart audits. We have to go to the insurance company every year for 2 1/2 days of training and refresher and then pass a "test" with 95% accuracy.
    I looked in the newspaper classifieds the first year starting in the fall or winter. After that, if you do a good job, the insurance company will contact you each year when it's time to work again. As I said before, it's only part-time, about 3 months, but it's a nice chunk of change and leaves me free to travel the rest of the year.
  8. by   stevierae
    Quote from ARBY
    My cousin, also an RN, alerted me to HEDIS chart audits. We have to go to the insurance company every year for 2 1/2 days of training and refresher and then pass a "test" with 95% accuracy.
    I looked in the newspaper classifieds the first year starting in the fall or winter. After that, if you do a good job, the insurance company will contact you each year when it's time to work again. As I said before, it's only part-time, about 3 months, but it's a nice chunk of change and leaves me free to travel the rest of the year.
    Thanks for the info, Arby!!
  9. by   Wolfpax
    Quote from ARBY
    Is anyone out there besides me doing HEDIS this year? Last year I was assigned 800+ charts to audit. For probably 400 of those, 3 of us went to the "desert" area to do them. This year I have 1274 to do by myself and possibly 6 or 7 hospitals yet to come. Think I'll just have my breakdown first this year:roll
    Did some other stuff in the 60's does that count ?
  10. by   marya
    Quote from ARBY
    Is anyone out there besides me doing HEDIS this year? Last year I was assigned 800+ charts to audit. For probably 400 of those, 3 of us went to the "desert" area to do them. This year I have 1274 to do by myself and possibly 6 or 7 hospitals yet to come. Think I'll just have my breakdown first this year:roll
    What company are you working for? I am interested!!!
    Marya
  11. by   ARBY
    Marya,
    I replied to your post on the other topic.
    GOOD LUCK
  12. by   marya
    Quote from ARBY
    Is anyone out there besides me doing HEDIS this year? Last year I was assigned 800+ charts to audit. For probably 400 of those, 3 of us went to the "desert" area to do them. This year I have 1274 to do by myself and possibly 6 or 7 hospitals yet to come. Think I'll just have my breakdown first this year:roll
    Do you know of any telephonic Hedis that could be done from a home office?
    marya
  13. by   ARBY
    Quote from marya
    Do you know of any telephonic Hedis that could be done from a home office?
    marya
    I don't know of any but that doesn't mean they don't exist. The insurance co. I worked for would contact an office if they had less than 6 charts that the insurance company wanted to see. They would ask the office to copy and send the charts (or parts there of) that they wanted to see. We had to actually look at the chart and verify the info when we went to the offices/hospitals to audit.

    GOOD LUCK and let us know if you find something that can be done from home.

    I've recently moved to TX and, so far, have not found any HEDIS audits being done in my area...sure hope to find some.

    ARBY

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