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 NCQA HEDIS® Compliance Audits

Since 1997, MetaStar has been conducting HEDIS-type audits, and was among the first organizations to become licensed by the National Committee for Quality Assurance (NCQA). We have extensive experience in data auditing for multiple product lines, including commercial, Medicaid, Medicare, Special Needs Products (SNPs), and Pay-for-Performance. With over 30 years of experience as a quality improvement organization for the Centers for Medicare & Medicaid Services, we understand the practical concerns you have from the health care side of the audit. As a QIO, we have expertise in identifying specific areas for improvement, adding value to your audit.

Our team of specially trained and qualified auditors is located nationwide to serve your HEDIS audit needs. With experience in health care and quality improvement principles, our auditors can help identify your problem areas and offer improvement strategies that are sensible for you.

You can feel confident about the service you are getting when MetaStar performs your NCQA HEDIS Compliance Audit™. We guarantee:

  • A customized proposal to meet your unique needs with pricing based on factors related to your organization. There are no hidden costs such as travel expenses or photocopying.
  • A signed contract with the agreed upon price and timelines.
  • Preparation prior to the on-site visit. We answer all your HEDIS Record of Administration, Data Management, and Processes (Roadmap) questions, provide you with a list of document needs, and prepare a written agenda with your input.
  • An on-site audit conducted by at least one NCQA-certified auditor. This generally lasts one to two days.
  • A summary of the on-site audit within two weeks of our visit. This summary will provide information on key findings and request any additional follow-up materials.
  • A report that identifies your problem areas and the corrective actions needed for improvement.

Partner with MetaStar

If you are interested in an NCQA HEDIS Compliance Audit, MetaStar's auditors will work closely with you to provide the services you need. There are two options for you to make an Audit Proposal Request.

HEDIS® is a registered trademark of the National Committee for Quality Assuarance (NCQA).
NCQA HEDIS Compliance Auditis a trademark of the National Committee for Quality Assurance (NCQA).


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