Information Governance & Standards

HEDIS Audit

  • 1.  HEDIS Audit

    Posted 01-30-2018 13:39
    I am in a CCRC with a hybrid record. I do not receive many of these requests as our skilled nursing is only 111 beds. Is anyone charging for records released for these types of audits, if so how much do you charge per request?
    TIA!!!

    ------------------------------
    Mindy Morningstar
    HIM
    Clark Retirement Community
    ------------------------------


  • 2.  RE: HEDIS Audit

    Posted 03-12-2018 12:53
    ​I would recommend asking on the Confidentiality, Privacy and Security Engage Community to see if release of information and HIPAA privacy experts could answer your question, since you are not getting responses from the IG team here. I believe more ROI professionals for your question can be found there.

    Thank you! Lori

    ------------------------------
    Lori Richter
    OneCare EHR Compliance Director
    Catholic Health Initiatives
    ------------------------------



  • 3.  RE: HEDIS Audit

    Posted 03-14-2018 09:59
    I work at a health department and we receive HEDIS requests on an annual basis.  I do not charge for the records, because I do believe it falls under the contract signed between my organization and the insurance company.  So I would suggest you find out if it's in your contract that any reviews for records be complied with.  Another thing I do is I have the requesting company come on site and review the records.  I print the information we have electronically and pull the paper record if needed.

    ------------------------------
    Ta-Tanisha Ingram, MSM, RHIA, CHPS
    Medical Records Administrator/District Privacy Officer
    DCBOH
    ------------------------------



  • 4.  RE: HEDIS Audit

    Posted 03-15-2018 08:35
    Thank you for the feed back. I did decide not to charge.
    -Mindy