Anyone doing HEDIS???

what is it?

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

God Heavens!! 1274 charts!

A few questions...

How long do you have to do this?

Do you get paid by the hour or per review? & ~ How long per review?

Is this a all year yound job? I didn't think so, and if not, what do you do the rest of the year, if you don't mind my asking all these personl questions??

Thanks, Linda

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

Thanks Arby, Happy Trails!! When Hedis is over that is!

I skipped this year. I work for three companies and usually do HEDIS in central Ohio. I did 500 charts for one audit one time.

I love it!

renerian

How do you get into Hedis? Thanks, Dolores

I responded to an ad in the local paper for doing HEDIS for a company for UHC. I loved it. The ad was for data abstractors.

renerian

Yes, the newspaper was where I found HEDIS also. My cousin had told me about it and said to start watching for it late fall or early winter. I think it is done in the spring across the country.

GOOD LUCK if you are interested.

Interesting, not hard work except you did not have to copy so much of the information like you did the last time I did it. Something about how can the managing company say the adstractor was correct so we had to copy records which of course no one liked. I am sure HIPPA has made it much worse.

renerian

I am looking for HEDIS work. I have done this for one year and don't know how to make the contacts to get back into it..

I will look for companies I know and worked with in the past and I can PM you this weekend.

renerian