HEDIS® Annual Medial Record Collection
Date: 11/02/18
DatafiedTM to assist and minimize the time required to copy and collect medical records at no cost to providers
California Health & Wellness Plan (CHWP) is included in the data collection efforts for the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS®) 2019 Clinical Effectiveness of Care measures. HEDIS is an important standard set of nationally reported measures that are utilized to assess the quality of care provided to CHWP members.
Collecting data from randomly selected participating providers takes place approximately from December 1, 2018, to May 15, 2019. Contractual agreements between CHWP and its participating providers contain an explicit provision requiring providers to supply member information when requested for health care operations, including quality review purposes, at no cost.
CHWP contracts with Datafied™ to support the HEDIS data collection process. Provider offices that choose to use a copy service vendor other than Datafied may do so at their own expense and will maintain responsibility for ensuring the medical records are released to the vendor and plan.
DATAFIED
Datafied assists with retrieving medical records to minimize the time required by providers and their staff to collect the records necessary for the HEDIS reporting process. Datafied contacts provider offices by telephone to verify contact information prior to sending out the HEDIS packets. The packet contains a list of CHWP members and the specific medical records or documentation required. The vendor collects all medical records for CHWP’s HEDIS collection and offers copy service for high-volume provider sites.
When contacted, it is important for providers to release the applicable medical records within five days or contact the vendor with a time frame for when records will be sent. If records are not available, or the member is not your established patient, please notify Datafied immediately so the request can be redirected.
ADDITIONAL INFORMATION
If you have specific concerns or questions related to the medical records requested or how or where to send the data, contact the HEDIS team by telephone at 1-800-640-3545 or by email at HEDIS@healthnet.com (this email address is not secured; do not submit protected health information (PHI) data to this address).
If you have questions for the vendor, refer to the contact information in the letter included with the HEDIS packets to reach the vendor.