Our Process & Methodology

We conduct all audit activities as prescribed by NCQA's HEDIS Compliance Audit™: Standards, Policies and Procedures. The audit process is generally divided into three phases:

• Phase 1: Audit Preparation
• Phase 2: Onsite Visit
• Phase 3: Post Onsite Activities

During the three phases, auditors focus on a number of performance areas - including information practices and control procedures, sampling methods, data integrity, analytic file production, algorithmic compliance with measurement specifications, reporting and documentation.