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Maximizing HEDIS Compliance Reimbursement for Chinatown Service Center

The Challenge

Chinatown Service Center faced challenges meeting Healthcare Effectiveness Data and Information Set (HEDIS) performance standards, which track core healthcare measures such as care effectiveness and access. Before using Med Tech Solutions’ (MTS) tools, CSC struggled with time-consuming manual processes, requiring administrative staff and clinicians to submit codes individually. This inefficiency impacted their ability to maximize reimbursement and clinician satisfaction.

 

The Solution

CSC turned to MTS, their trusted technology partner for over a decade, to develop a streamlined HEDIS Quality Measures Template. This custom-built tool automated the submission process, significantly reducing the time and administrative effort required. By pulling the necessary data and billable encounters, the template alleviated the administrative burden on clinicians, freeing them to focus more on patient care. In addition, the primary care team was empowered to handle much of the administrative workload, further enhancing the center’s operational efficiency.