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  • "Indegene attains NCQA certification for HEDIS® measures"

  • Are you concerned about the ROI of your Gaps in Care reporting system? Liberate yourself from all constraints and focus on improving quality of care!

    Request for Demo
  • "Indegene attains NCQA certification for HEDIS® measures"

  • Are you concerned about the ROI of your Gaps in Care reporting system? Liberate yourself from all constraints and focus on improving quality of care!

    Request for Demo

Delivering on compliance and improving quality of care

Indegene's quality improvement solution is available on a Service Bureau model where we provide qualified staff comprising ETL experts, data analysts, and HEDIS SMEs who work with health plans toward a seamless submission.

The SaaS deployment enables clients to release costly investment in hardware and software, while partial full-time equivalent resources made available as per requirement ensure better utilization of client SMEs.

Optimization of outreach budget is supported by applying predictive analytical algorithms like Encounter Prediction and Compliance Likelihood to identify autoclosure opportunities, and Member Value and Provider Marginal Bonus to prioritize chart retrieval.

Programs
  • IDSS and PLD Submission
    IDSS and PLD Submission

    HEDIS Pro software is NCQA certified to submit HEDIS measures for health plans. Out-of-the-box reports like cross measure analysis, data inventory analysis, data quality analysis, code mapping, negative case analysis, and supplemental data impact analysis are available to preempt any onsite auditor queries.

  • MRR and Abstraction
    MRR and Abstraction

    Indegene has been providing record retrieval and abstraction services for over 15 years with an annual volume of over 1.2M charts. We have capabilities to retrieve medical records from all the 50 states in US with our nationwide network of retrieval staff. Our 350+ outreach specialists, abstractors and medical coders across the organization are enabled by best-in-class productivity tools like iRetriever and Chart Pro.

  • Gaps and Stars Reporting
    Care Gaps and Stars Reporting

    Our innovative ZERO license fee model, for the add-on Prospective gaps in care module, enables clients using our certified HEDIS software to repurpose budgets for quality improvement initiatives.

    The Self Service SaaS platform supports 12 month rolling and YTD time frame, Medicare PDC measures, and Star measure reports like PDC stratification, DMARD in prior years, OMW 180 day window, HbA1c missing lab result and 1HRM.

  • Provider Education
    Provider Education

    Offer personalized and data-driven education modules to providers, specifically to groups and IPAs that have a P4P or Risk sharing agreement with the payer.

    Our education programs are based on flipped classroom approach with emphasis on skill application rather than pure knowledge retention, and based on internationally recognized and validated adult learning principles, behavioral psychology, human-computer interaction, and brain science

Programs
IDSS and PLD Submission

HEDIS Pro software is NCQA certified to submit HEDIS measures for health plans. Out-of-the-box reports like cross measure analysis, data inventory analysis, data quality analysis, code mapping, negative case analysis, and supplemental data impact analysis are available to preempt any onsite auditor queries.

MRR and Abstraction

Indegene has been providing record retrieval and abstraction services for over 15 years with an annual volume of over 1.2M charts. We have capabilities to retrieve medical records from all the 50 states in US with our nationwide network of retrieval staff. Our 350+ outreach specialists, abstractors and medical coders across the organization are enabled by best-in-class productivity tools like iRetriever and Chart Pro.

Care Gaps and Stars Reporting

Our innovative ZERO license fee model, for the add-on Prospective gaps in care module, enables clients using our certified HEDIS software to repurpose budgets for quality improvement initiatives.

The Self Service SaaS platform supports 12 month rolling and YTD time frame, Medicare PDC measures, and Star measure reports like PDC stratification, DMARD in prior years, OMW 180 day window, HbA1c missing lab result and 1HRM.

Provider Education

Offer personalized and data-driven education modules to providers, specifically to groups and IPAs that have a P4P or Risk sharing agreement with the payer.

Our education programs are based on flipped classroom approach with emphasis on skill application rather than pure knowledge retention, and based on internationally recognized and validated adult learning principles, behavioral psychology, human-computer interaction, and brain science

Benefits
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Deployed on HIPAA-compliant cloud – No IT infrastructure required. All you need is a browser!

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Reduced CAPEX. ZERO license fee for gaps-in-care module.

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Optimized chase lists to reduce chart retrievals for Risk Adjustment and HEDIS.