What’s in scope.
The list below describes the standard work breakdown. Every engagement is scoped to client volume, line of business, and platform. Bespoke scope is the default, not the exception.
- 01
Hybrid Measure Abstraction
All hybrid measures across MA, Commercial, and Medicaid lines. ICR-validated, NCQA-compliant accuracy.
- 02
Medical Record Retrieval
Direct-to-provider outreach, EMR integration where available, fax and portal pulls for the long tail.
- 03
Clinical Overread
100% second-level review by RN/LPN abstractors. Discrepancies adjudicated by Clinical Lead.
- 04
IDSS File Preparation
MRR file generation, supplemental data extracts, and audit trail packaging for HEDIS Compliance Audit.
- 05
Roadside Assistance
Mid-season surge capacity. We embed 50–200 abstractors inside your operation within 14 days.
- 06
Measure Strategy
Pre-season measure forecasting, supplemental data optimization, and CCSP/CDC measure-specific deep dives.