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Pay for Performance (P4P)

Patient with Doctor Diverse Support Group

HSAG is a major market leader in providing Pay-for-Performance (P4P) audit services, conducting hundreds of P4P audits since 2003. Due to an increase in national interest, which is steering more organizations to assess provider performance, it is imperative that organizations have a reliable and experienced audit firm to conduct P4P audits. HSAG’s P4P audit services assist MCOs and physician organizations with reporting valid and reliable P4P measures. Based on our experience, HSAG offers organizations a multitude of best-practice scenarios and advice on how to achieve an optimal reportable rate.

Our approach to P4P audits allows us to maximize the opportunity for physician organizations to achieve reportable measures. Each customer is treated on a personal level to help meet the unique needs of that customer. Our timelines are flexible to help ease the burden of undergoing a P4P audit, and each on-site visit consists of at least two HSAG audit team members, one of whom is a certified auditor. Having multiple years of experience, our auditors are qualified, professional, and efficient, making the audit experience rewarding and beneficial to customers.

HSAG has an extensive audit team with staff members who have years of P4P auditing experience, positioning it at the forefront of P4P audit services. Our auditing team includes a large number of NCQA-certified HEDIS® Compliance Auditors, as well as additional team members who provide support to the certified auditors in areas such as physician organization operations, P4P reporting, computer programming, data analysis, medical record review, provider credentialing, and performance measurement. HSAG has also produced numerous individual P4P reports that are unique for each physician organization that emphasize the key audit findings and recommendations for the future.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
NCQA HEDIS Compliance Audit™ is a trademark of the National Committee for Quality Assurance (NCQA).