Anyone doing HEDIS??? - page 3

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   marya
    Quote from marya
    What company are you working for? I am interested!!!
    Marya
    Would you mind giving me the name of the company who you are doing 1200 plus charts for this year?
    I am interested if they need more hires.
    Marya
  2. by   ARBY
    Marya, it was spring of 2004 that I did the 1200 or so charts. I worked for Molina out of So. CA then. As I said, haven't found any companies to work for so far for the coming Spring audits of 2005.

    GOOD LUCK!!!
  3. by   monicatn
    Quote from marya
    What company are you working for? I am interested!!!
    Marya
    Be extremely careful about a company in Kentucky. They were extremely unorganized - had just quickly moved from North Carolina (wonder why?).
    I was never paid for the the two day training and was only paid for half of the charts I reviewed. Needless to say, I did not work for them very long!

    If you are in this area and interested in the name of the company - personally e-mail me.
  4. by   renerian
    I just applied and all the review positions were already filled for the spring! Shoot. The service area was a 150 mile radius/multiple states.

    renerian
  5. by   marya
    Quote from renerian
    I just applied and all the review positions were already filled for the spring! Shoot. The service area was a 150 mile radius/multiple states.

    renerian
    Who did you apply to who was filled up already?
  6. by   HRG-SARI
    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
    YES,I do Hedis , Acca .Annuals and Concurrent Reviews.I have done this work for years with BC/BS.I do have a certificate to validate my work.I live in Brevard Co./Palm Bay.If you would like to contact me my e-mail is ibilolaquarles@hotmail.com.Thank You LOLA.
  7. by   SMRN
    Quote from monicatn
    Be extremely careful about a company in Kentucky. They were extremely unorganized - had just quickly moved from North Carolina (wonder why?).
    I was never paid for the the two day training and was only paid for half of the charts I reviewed. Needless to say, I did not work for them very long!

    If you are in this area and interested in the name of the company - personally e-mail me.
    I think I work for this company! I emailed you privately. Is there any way that I can make sure I get paid? Did you eventually get paid? The labor board here was very helpful in the past...but I don't know if they can help since the company is not in my state. They have some great lawyers. I can't imagine doing all this work and not getting paid!!! This is the first time I've done Hedis and I love it so far. Will get my first check next friday. Hope it's right!
  8. by   DBHRN
    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.

    Hi there, I'm very interested too. I have recently retired but I miss the medical field. I am no longer able to do any type of floor nursing but I would love to do this or something from home. Any help?
  9. by   ARBY
    Quote from DBHRN
    Hi there, I'm very interested too. I have recently retired but I miss the medical field. I am no longer able to do any type of floor nursing but I would love to do this or something from home. Any help?
    Sorry to be so long in getting back to you but I've been traveling.

    About November I would start looking on the web-based job sites, (such as Hot Jobs.com) and under key work put HEDIS. Companies generally do training in Feb. so they start early looking to fill the jobs. If you don't find anything then, just keep looking. Sure hope you aren't out in the middle of nowhere like I am...there aren't ANY here. GOOD LUCK!!
  10. by   DBHRN
    Quote from ARBY
    Sorry to be so long in getting back to you but I've been traveling.

    About November I would start looking on the web-based job sites, (such as Hot Jobs.com) and under key work put HEDIS. Companies generally do training in Feb. so they start early looking to fill the jobs. If you don't find anything then, just keep looking. Sure hope you aren't out in the middle of nowhere like I am...there aren't ANY here. GOOD LUCK!!

    Thanks for the info. i'll be sure to start looking....I'll even begin in Oct :chuckle
  11. by   nursemary22
    Quote from SMRN
    I think I work for this company! I emailed you privately. Is there any way that I can make sure I get paid? Did you eventually get paid? The labor board here was very helpful in the past...but I don't know if they can help since the company is not in my state. They have some great lawyers. I can't imagine doing all this work and not getting paid!!! This is the first time I've done Hedis and I love it so far. Will get my first check next friday. Hope it's right!
    Hope it worked out okay. I work for the same company in Kentucky every year. Never had any problems.
  12. by   SMRN
    Yes, it worked out fine. I wasn't able to do the HEDIS again this year, though as I had a full time job.
  13. by   XtineC
    Quote from ARBY
    Health plan
    Employer
    Data and
    Information
    Set

    We are employed by insurance companies to go to Dr's offices and hospitals to see if proper care/follow-up is give to patients according to their diagnosis. As I said above, this year I've been assignes 1274 charts to review with some hospitals to be added. Some of what we look for are Immunizations, Well-child care, B/P control, Diabetes control, Prenatal/Postpartum care, Breast cancer, Cervical cancer.

    I feel I am helping to keep the docs on their toes as they are given a report of how they are doing and where they should improve. Hopefully, we ALL benefit from it:kiss
    They actually changed it to
    Healthcare Effectiveness Data Information Set. I think last year some time.

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