The HEDIS Compliance Audit


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The HEDIS Compliance Audit
a six-year perspective of maturity and growth

A Free Industry Web Summit & Audio Conference from CSC

Topic: The HEDIS Compliance Audit – a six-year perspective of maturity and growth

Date: Thursday, November 4, 2004

Time: 1:00 PM Eastern

Place: Your desk – we’ll provide you with all session materials and connection information

Cost: None

To Register: www.healthwebsummit.com/hedisregister.htm

Deadline to register: Monday, November 1, 2004. After this date, you can request a Post-Summit CD by going to: http://www.healthwebsummit.com/csc/hediscdorder.htm.

ABSTRACT

HealthcareData.com, LLC (HDC), a leading NCQA-licensed compliance audit organization, will discuss the HEDIS Compliance Audit process from the perspective of someone who has been involved with HEDIS since July 1995 (HEDIS 2.0) and has directed as well as performed audits since 1998. Paul T. Mertel, Jr., Ph.D., CHCA, was certified as a HEDIS auditor in November of 1998 and has directed the HEDIS audit program at HDC since the company was granted its license in January 1999. Over the past six years, HDC has audited more than 270 MCOs and validated more than 350 submission files.

As HEDIS auditing has matured and licensed firms have gained valuable experience, the audit process has become something of a standardized commodity. The role of vendors in this process has likewise expanded and matured, along with additional reporting requirements that impact the MCO’s reporting capabilities. In the conference, Dr. Mertel will provide a basic primer on the HEDIS audit process and changes that have occurred in the audit process. He will discuss the expanding role of vendors in HEDIS reporting, particularly the use of NCQA-certified software vendors.

Additional topics will include a review of the audit calendar and timeframes as they relate to key reporting activities, maximizing the use of HEDIS results to reduce the cost of producing your HEDIS Report, and improving accreditation scores, plus a brief overview of changes in auditing and reporting for HEDIS 2005. There will be ample time at the end of the session for questions on HEDIS compliance auditing or other areas of interest.

FACULTY

Paul T. Mertel, Jr., Ph.D., CHCA
Senior Vice President of HEDIS Development, HealthcareData.com, LLC (HDC)

Paul T. Mertel, Jr., Ph.D., CHCA, serves as Senior Vice President of HEDIS Development for HealthcareData.com, LLC (HDC), a data, research and management services company serving the health care community.

Dr. Mertel has been with HDC since 1995 and has been an NCQA-Certified HEDIS Compliance Auditor since 1998. At HDC, Dr. Mertel specializes in HEDIS consulting, auditing and reporting, and also conducts special research studies. He serves on several committees hosted by the National Committee for Quality Assurance and is a frequent speaker on HEDIS Auditing, Pay for Performance, and HEDIS Reporting.

Prior to joining HDC, Dr. Mertel was an Associate Professor at several local colleges. He served 23 years in the United States Army and held health care administrative executive positions at several U.S. Army hospitals and health clinics. Dr. Mertel holds a Doctorate in Public Administration from Penn State University, a Masters in Health Care Administration from Baylor University, and a Masters of Public Administration from the University of Missouri.

REGISTRATION:

Register online at www.healthwebsummit/hedisregister.htm and you will receive instructions for logging in to the Web seminar. Slots for this event are limited. Please register promptly. All registrations are subject to review and approval by CSC. If you have questions, contact Patty Jamison at the Healthcare Web Summit Office at 209.577.4888 for more information. We look forward to your participation in this event!

Deadline to register: Monday, November 1, 2004. After this date, you can request a Post-Summit CD by going to: http://www.healthwebsummit.com/csc/hediscdorder.htm.

Summit Phone		Summit E-Mail		Summit Fax
209-577-4888		pattyj@mcol.com		209-577-3557