HEDIS & QUALITY MEASUREMENT
HEDIS & Quality Measurement
Services
Services
SunRCM delivers end-to-end HEDIS, quality measurement, and performance reporting services to help health plans, provider groups, ACOs, and RCM organizations improve quality outcomes, strengthen compliance, and elevate Star Ratings.
Overview
The healthcare landscape is increasingly driven by quality metrics, value-based outcomes, and accurate HEDIS reporting. SunRCM partners with payers and providers to deliver precise medical record abstraction, care-gap identification, and data analytics aligned with NCQA and CMS quality frameworks.
OUR SERVICES
Our HEDIS & Quality Services
Medical Record Abstraction
✔HEDIS chart abstraction (manual & hybrid)
✔Review of documentation, visits, vitals, labs
✔Accurate mapping of evidence to measure specifications
✔Abstraction by trained clinical professionals
Chart Retrieval Services
✔EMR/EHR remote access
✔Provider office coordination
✔Secure document collection and management
✔Retrieval tracking & reporting dashboards
HEDIS Measure Support
✔Preventive Care measures
✔Chronic Disease Management
✔Women's Health measures
✔Behavioral Health & Medication Management
Quality Reporting & Analytics
✔Care-gap identification
✔Performance scoring and benchmarking
✔Predictive analytics for Star Rating improvement
✔Provider performance dashboards
HEDIS MEASURES
HEDIS Measure Support
We support all major HEDIS domains and stay updated with annual NCQA changes
Preventive Care
Chronic Disease Management
Women's Health
Behavioral Health
Medication Management
Utilization Measures
BENEFITS
Benefits of SunRCM HEDIS Engagement
Improved HEDIS Performance & Star Ratings
Lower abstraction and operational costs
Faster turnaround and cycle-time reduction
Highly accurate chart review (95–98% QA validated)
Visibility into provider documentation gaps
Stronger quality outcomes and member satisfaction
WHY CHOOSE SUNRCM
Why Choose SunRCM for HEDIS & Quality Work?
Expert Clinical & Quality Teams
Our coders, abstractors, and analysts are trained on the latest HEDIS technical specifications and NCQA updates.
Accurate, Audit-Ready Workflows
Every submission undergoes multi-layer QA checks, preventing compliance gaps and ensuring defensible reporting.
Technology-Driven Process
Advanced tools for chart retrieval, abstraction, mapping, quality checks, and data validation.
Flexible & Scalable Staffing
Scale your HEDIS team without increasing overhead. We support partial, full-cycle, and overflow engagements.
End-to-End Security & HIPAA Compliance
All work meets HIPAA, PHI, and security standards with encrypted data handling and strict access controls.
Reduced Costs & Faster Cycles
Our optimized workflows deliver high-quality output at competitive prices, enabling higher ROI.