Year-Round Prospective HEDIS®

NLP and AI-powered chart abstraction solution that achieved 7x efficiency improvement on prospective HEDIS gap closures.

NLP and AI-powered chart abstraction solution that achieved 7x efficiency improvement on prospective review gap closure. Take on year-round prospective HEDIS® on your entire population with confidence.

Study: GAPs Closed Per Hour

In a study of abstractors, Chart Review accelerated gap-closure efficiency from 6 to 38 times, depending on the measure. Every click is productive & efficient.

Key Benefits

Get the Big Picture

Get opportunity reports across your entire population at the start of the prospective season and know what rates you can expect if you close all your NLP opportunities. Now you can prioritize and plan, with the confidence that you’re maximizing the value your year-round team can produce by targeting the right measures at the right time of the year.

Standardization

Astrata’s NLP is trained to meet the NCQA specification standard, identifying evidence at the top of what the HEDIS® specifications allow. Elevate all members of your team to the top of their game and reduce variations between them.

Reduce the Hybrid Season Pressure

For measures that still allow hybrid review, you can expect a reduction in the no. of chart chases required as you would have already closed some of the gaps in the sample during the prospective review. For measures that are no longer hybrid, you can maintain your rates at the hybrid level.

Reduce the Abrasion

Your providers will be happy to see better rates, but not at the cost of constant interruptions to their work for additional documentation. If you’re already experiencing provider abrasion with HEDIS®, you won’t want the abrasion to scale with your record review. If you have access to your provider’s data, you will reduce the no. of gaps you will need to request documentation for as Astrata will help your abstractors close gaps where the NLP finds evidence in the existing documentation.

How You Can Do Prospective HEDIS With Your Existing Team

Year Round HEDIS Math (without Astrata)

Number of charts to review

500,000

Estimated number of gaps to close

50,000

Average number of charts reviewed per abstractor per day

100

Abstractor days to close all gaps

500,000/100 = 5,000

Number of abstractors on team

Number of days for team to close all gaps

5,000/5 = 1000 Yikes!

Year Round HEDIS Math (with Astrata)

Number of charts Astrata flagged for review (Number of charts to review 500,000)

55,000