> HEDIS Quality Improvement Services

HEDIS Quality Improvement Services

Advance your quality scores, close care gaps, and improve population health outcomes with HEDIS-focused abstraction and clinical support programs.
HEDIS Solutions

Improve Quality Scores & Member Outcomes

Valiant Lifecare supports health plans and provider groups with end-to-end HEDIS abstraction, retrospective and prospective review, medical record retrieval, and quality program execution to help organizations achieve higher ratings and stronger clinical performance.

Services Offered

Our HEDIS Services

HEDIS Abstraction

Accurate, compliant measure abstraction for all HEDIS domains, performed by trained clinical abstractors.

Medical Record Retrieval

End-to-end record collection across providers, EMRs, hospitals, and specialty clinics for complete measure review.

Prospective Quality Review

Pre-visit review to help providers close care gaps and improve member outcomes earlier in the year.

Retrospective Quality Review

Post-visit audits to validate documentation, identify missed measures, and strengthen compliance.

Care Gap Closure Programs

Outreach, scheduling, provider coordination, and clinical reminders to close HEDIS-related care gaps.

Data Validation & Reporting

Data audits, cleaning, validation, and reporting support for HEDIS submissions and NCQA compliance.

Call Us Today to Schedule a Free Consultation

Our Process

HEDIS Improvement Workflow

We follow a structured process that ensures medical record accuracy, streamlined review cycles, and timely outreach to improve member compliance.

Record Retrieval

Coordinated outreach to providers, hospitals, and EMRs for timely medical record access.

Abstraction

Measure-level review by certified abstractors with QA oversight.

Validation

Clinical audits to ensure measure accuracy before submission.

Gap Closure

Member outreach, scheduling, reminders, and provider coordination.

Contact Us

Speak With an Expert

Improve Your Operational Outcomes.  Connect with us today for a no-charge in-depth Consultation before we begin optimizing your operations.

Schedule a Free Consultation

By submitting this form you agree to our Privacy Policy. Optimum may contact you via email or phone for scheduling or marketing purposes.