NCQA licenses organizations and certifies selected employees or contractees of licensed organizations to conduct audits using NCQA’s standardized audit methodology. Auditors use the first half of the audit, the overall IS review, to identify data areas to focus on during the second half of the review (HEDIS Compliance Standards). This allows for customization of each audit depending on the individual health plan’s strengths and weaknesses. The audit adds a higher degree of integrity to HEDIS data, and enables MCOs to provide consumers and purchasers with consistent and comparable HEDIS reports.
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