Four Tough Questions About HEDIS Review in 2018

Jan 24, 2018

MRO’s Greg Ford, Director of Requester Relations and Receivables Administration, discusses best practices for eliminating redundancies and easing workflows during the HEDIS review season in a RACmonitor article titled “Four Tough Questions About HEDIS Review in 2018.”

Best practices are described for eliminating redundancies and easing workloads during the HEDIS season now underway.

Healthcare Effectiveness Data and Information Set (HEDIS) reviews are conducted by health plans and government payers every year from January to mid-May.

With the official 2018 HEDIS review season now in full swing, this article seeks to answer four tough questions about these reviews and suggests best practices to follow as hospitals prepare their teams.

View Full Article

Greg Ford

In his role at MRO, Ford serves as a liaison between MRO’s healthcare provider clients and payers requesting large volumes of medical records for purposes of post-payment audits, as well as HEDIS and risk adjustment reviews. He oversees payer audit and review projects end-to-end, from educating and supporting clients on proper billing practices and procedural obligations, to streamlining processes that ensure timely delivery of medical documentation to the requesting payers.