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HEDIS®
HSAG offers HEDIS® Compliance Audit™ services, which focus on assisting managed care organizations (MCOs) with reporting valid HEDIS measures. HSAG has been performing NCQA HEDIS Compliance Audits™ nationwide since 1999. With experience administering HEDIS Compliance Audits across the Medicaid,...
https://www.hsag.com/service/audits/ESRD Network 7
Welcome HSAG has served as the Florida End Stage Renal Disease (ESRD) Network (Network 7) since 2003. In 2013, HSAG acquired ESRD Network 13 (Arkansas, Louisiana, and Oklahoma), and in 2015, acquired ESRD Network 15 (Arizona, Colorado, Nevada, New Mexico, Utah, and Wyoming), as well as ESRD Network...
https://www.hsag.com/en/esrd-networks/esrd-network-7/Validation of Performance Measures
Performance Measure Validation (PMV) is designed to assess the accuracy of reported performance measures and determine the extent to which the reported rates follow the measure specifications and reporting requirements. The validation of performance measures is one of the mandatory EQR activities...
https://www.hsag.com/en/myoregoneqro/performance-measure-validation/HILOC Login
Medicaid Health Plans and Providers Click here to access the secure, password protected Hawaii Level of Care (HILOC) Web application for electronic submission of requests and tracking the status of your requests. Additional resources, including a HILOC User Guide, are available under the Resources...
https://www.hsag.com/en/myhawaiieqro/hiloc/Hawaii Medicaid EQRO
External Quality Review Organization Services HSAG performs the following EQRO services: Review of Health Plan Compliance with Managed Care Standards, Review of Corrective Action Plans, and Re-evaluation of Corrective Actions Validation of Performance Improvement Projects Validation of Performance...
https://www.hsag.com/en/myhawaiieqro/ESRD Network 18
Welcome In 2021, HSAG was awarded the End Stage Renal Disease (ESRD) Network 18 (Southern California) contract. HSAG has served as the Florida ESRD Network (Network 7) since 2003. In 2013, HSAG acquired ESRD Network 13 (Arkansas, Louisiana, and Oklahoma), and in 2015, acquired ESRD Network 15...
https://www.hsag.com/en/esrd-networks/esrd-network-18/Nursing Homes
This site serves as a centralized resource for nursing home leadership and staff to strengthen Quality Assurance and Performance Improvement (QAPI) programs. The tools and resources support data-driven quality improvement, effective performance monitoring, and sustained improvements in resident...
https://www.hsag.com/en/medicare-providers/nursing-homes/ESRD Network 13
Welcome HSAG has served as End Stage Renal Disease (ESRD) Network 13 (Arkansas, Louisiana, and Oklahoma) since 2013. HSAG has also served as ESRD Network 7 (Florida), since 2003, and acquired ESRD Network 15 (Arizona, Colorado, Nevada, New Mexico, Utah, and Wyoming), as well as ESRD Network 17...
https://www.hsag.com/en/esrd-networks/esrd-network-13/Patient and Family Engagement (PFE)
Centers for Medicare & Medicaid Services (CMS) recognizes that patients, families, and caregivers are essential partners in the effort to improve the quality and safety of healthcare provided to all patients. It is only by including them as active members of their own healthcare team that...
https://www.hsag.com/en/esrd-networks/patient-and-family-engagement-pfe/Audit and Validation Services (HEDIS®/AMP)
HSAG's audit services assure accurate, reliable, and publicly reportable data that can be used by purchasers and consumers to compare managed care organizations (MCOs). HSAG is also a major market leader in providing Align. Measure. Perform. (AMP) Audit Reviews™. Healthcare Effectiveness Data...
https://www.hsag.com/service/audits/