PRINCETON, N.J.--(BUSINESS WIRE)--CitiusTech, a leading provider of healthcare technology services and solutions, has received the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS®) certification for its BI-Clinical platform. BI-Clinical, CitiusTech’s healthcare business intelligence (BI) and analytics platform, has been certified by NCQA for its coverage of all HEDIS 2018 performance measures, including administrative measures, hybrid measures and systematic sampling.
With the shift to value-based healthcare, health plans face increasing pressure to improve performance. CitiusTech’s suite of specialized solutions enable health plans to improve compliance, engage providers, and close gaps in real-time. BI-Clinical powers SCORE+, an end-to-end solution to improve HEDIS scores and accelerates gap closure. SCORE+ provides web and mobile-based clinical data abstraction and chase intelligence capabilities to streamline the medical record review process, prioritize chases and optimize the cost and effort involved in HEDIS compliance.
“CitiusTech’s NCQA HEDIS certification over the last five years demonstrates our commitment to supporting our healthcare clients,” said Shyam Manoj, vice president of Health Plan & Payer Market at CitiusTech. “SCORE+ combines BI-Clinical’s industry-leading clinical quality rules processing capabilities with CitiusTech’s strong expertise in healthcare technology, advanced analytics and payer-provider workflows.”
BI-Clinical offers an extensive set of configurable apps and the largest measure library in the industry, that covers more than 600 key performance indicators (KPIs) around federal and commercial initiatives, including HEDIS, Hierarchical Condition Category (HCC), the Center for Medicare and Medicaid Services (CMS) Star, Meaningful Use (MU), Physician Quality Reporting System (PQRS) and other contractual measures. In addition, BI-Clinical helps customers proactively engage with member populations and reduce overall per member per month (PMPM) cost. BI-Clinical’s Rules Management Module (RMM) is the industry’s first consolidated application to define, configure, test and manage all clinical, financial and operational rules across the payer organization, including custom measures, financial/operational KPIs and cohorts for member outreach.
“By using BI-Clinical’s RMM to configure and test the rules, we were able to accelerate the development and testing of complex HEDIS measures and certify way ahead of the deadline,” said Jeffrey Springer, vice president of Healthcare Solutions at CitiusTech. “This certificate is a testament to our ability to quickly build and certify not only regulatory rules but also the contractual and operational rules which are becoming the new standard of healthcare.”
BI-Clinical is one of the most widely used BI and analytics platforms in the healthcare industry, with deployments at over 4,800 payer and provider locations across North America, supporting over 550,000 physicians and more than 30 million lives.
CitiusTech (www.citiustech.com) is a provider of healthcare technology services and solutions to medical technology companies, providers, payers and life sciences organizations, with over 2,900 professionals worldwide. CitiusTech’s services and solutions include healthcare software development, healthcare interoperability, regulatory compliance, BI/analytics, consumer engagement, care coordination and population health management. CitiusTech helps customers accelerate innovation in healthcare through number of solutions and accelerators for clinical quality reporting, healthcare big data, cloud computing, mobile health and predictive analytics. With cutting-edge technology expertise, world-class service quality and a global resource base, CitiusTech consistently delivers best-in-class solutions at an unmatched cost advantage to healthcare clients worldwide.
About National Committee for Quality Assurance (NCQA)
NCQA is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of managed care plans, managed behavioural healthcare organizations, preferred provider organizations, new health plans, physician organizations, credentials verification organizations, disease management programs and other health-related programs.
*HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA)