What is a Hedis chart review
A HEDIS chart review is when the National Committee for Quality Assurance (NCQA) reviews a patient’s medical records to determine if the quality of care measures have been met. Medical chart reviews are also the data source used by the NCQA to determine any incentives or financial rewards for health plans. Before the NCQA reviews medical records, it’s important to conduct your own HEDIS chart review to ensure that it accounts for all services performed in an accurate manner.