Medical Record Review Services
MEDISYS is your comprehensive source for consulting and data collection for quality measurement and improvement. One of the many strengths offered by the staffing resources of MEDISYS is the ability to complete large scale data collection projects quickly, in a high-quality manner. MEDISYS utilizes the latest national treatment guidelines, NCQA and HEDIS® requirements and other quality standards to conduct medical record reviews, analyze practice data, and provide reliable clinical outcomes information. As an independent third party, we work for you and ensure client confidentiality. Our standardized quality measurement tools, developed with physician oversight, are available to give you a quick turnaround on studies of provider compliance with guidelines for record-keeping, preventive care, and care for specific diseases. However, these tools are readily customized to meet your specific needs. Whether you represent an indemnity insurer, managed care organization, provider network, health care delivery system or agency, or public insurance company, our services can be customized to meet your quality management needs.
HEDIS® Measurement: MEDISYS has helped several managed care plans organize, coordinate, and complete HEDIS® data collection to meet NCQA reporting deadlines.
Research Data Collection from Charts: We have conducted record reviews to support health services research and clinical research for a number of clients at academic institutions, and in the pharmaceutical field.
Management Consulting
Our services include:
- Guidelines development and formatting
- Audit and survey tool development and pilot testing
- Record review and other data collection, entry and analysis
- Preparation of comprehensive audit feedback reports
- Corrective action plan development, implementation, and evaluation
- Documentation of study findings
- Development and documentation of a QM program
- Consumer and provider satisfaction surveys
- Provider accessibility and availability audits
- Preparing for accreditation site visits/conducting mock surveys