A HEDIS Love Story

A HEDIS Love Story

September 16, 2020

Top HEDIS scores come from Top Nurse Reviewers!

PSN's focus on managed care offers clients an outstanding network of nurses, RNs and LPNs, qualified for medical chart review and data abstraction prjects. Our nurses have completed HEDIS for health plans, mortality studies and billing reviews for hospitals, and EPSDT state audits of childhood health screenings for Medicaid programs, to name just a few. 

And, if HEDIS (Healthcare Effectiveness Data and Information Set) or EPSDT (Early and Periodic Screening, Diagnostic and Treatment) Reviews are in your future, we can staff your project! Over the years, PSN nurses have visited countless providers to locate needed medical record details and abstract data from both paper charts and Electronic Medical Records. Today, we provide nurses who are able to work remotely or in health plan offices as well.

We have relationships with hundreds of medical record review nurses, RNs and LPNs, nationwide, and recruit additional nurses as needed for these temporary HEDIS and other data abstraction assignments. Our nurses boast top accuracy in their reviews and we will meet your deadline for data collection every time.

Case In Point: 

In 2016 a new client contacted PSN for help with low performance on their annual HEDIS reviews. We suggested the use of nurses for the reviews instead of other licensed professionals used in the past (e.g. RHITs). As the client had an on-site retrieval team and a sophisticated, encrypted software program already in place, we further suggested allowing the nurses to perform the reviews remotely, working directly with the retrieval team. 

Working closely with our client, it was determined by PSN that the client’s standard vendor and reviewer incentive was not necessary, as we knew the use of our nurses, RNs and LPNs, would increase efficiency and quality, delivering the desired results within the pre-determined required time frame provided. 

PSN hired nine (9) nurses, who worked closely with our client’s team to successfully and satisfactorily perform 25,000+ reviews in a four-month time frame. Our Nurses exceeded the client’s expectations, saving them several thousand dollars in office space rental and incentive bonuses, and we have been asked to return for HEDIS every year since. Here is a quote from the HEDIS manager:

“It was a great experience working with PSN. We had two great teams of dedicated and experienced HEDIS nurses. Overall everything went great! The Nurse Recruiter, Staffing Coordinator and I were in one accord.  They stayed in the loop and we worked well to get the team together. We received Excellent prenatal and post-partum reviews. One of the nurses now has a full-time permanent position with us. There are others I would want full-time on my team as well. We passed Medicaid and Medicare with flying colors."

--West Coast Health Plan

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Our highly experienced nurses love data abstraction projects. We know you'll love the work they do!

For additional information regarding our medical staffing agency which includes help with HEDIS and other data abstraction services, please contact us by calling 301-460-4089 or [email protected]. We look forward to providing you with outstanding nurses for your project!

 

Professional Services Network, Inc. (PSN) works with clients nationwide in the search and recruitment of experienced nurses in utilization review, quality and case management for temporary assignment and direct hire opportunities. Additionally, PSN’s consultants work with provider and managed care organizations seeking accreditation or re-accreditation with URAC or NCQA. For additional information regarding our services contact us at 301-460-4089 or email us at [email protected].