HEDIS

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HEDIS

We offer targeted and effective HEDIS coding services that support healthcare plans in achieving excellence in quality reporting. Developed by the National Committee for Quality Assurance (NCQA), HEDIS (Healthcare Effectiveness Data and Information Set) is the industry gold standard for measuring performance across a wide array of health domains.

Our dedicated team of certified coding professionals brings deep expertise across all HEDIS measures—including preventive care, chronic condition management, behavioral health, and more. We help payer organizations meet compliance and performance benchmarks by delivering services that include:

  • Medical Record Abstraction: Our specialists efficiently extract relevant clinical data to support accurate HEDIS measure reporting.
  • Overread and Validation Services: We provide secondary reviews to ensure accuracy, consistency, and alignment with NCQA standards—reducing the risk of errors in reporting.
  • Domain-Wide Coverage: Whether it’s effectiveness of care, utilization, access/availability, or customer experience, our team is equipped to handle the full spectrum of HEDIS domains with precision.
  • Real-Time Insights: Through structured workflows and data-driven validation, we help uncover documentation gaps and support interventions that improve measure performance.

 

By partnering with us, healthcare plans and organizations gain a reliable extension of their quality improvement teams—working behind the scenes to boost HEDIS scores, demonstrate value-based performance, and ensure regulatory alignment.

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Ready to Elevate Your Healthcare Operations?

Partner with Bannu Spy Health for expert medical coding and revenue cycle management solutions. Our team is here to support your growth with precision and reliability.

Our Services

Medical Coding Services

Accurate. Compliant. Certified.
We provide precise medical coding solutions by certified professionals to ensure clean claim submission and faster reimbursements.

We offer risk adjustment coding which required highly skilled coding professionals to work together to capture the health status of their patient

We offer risk adjustment coding services for both Payers and Providers. By provider risk adjustment coding we contribute on

We specialize in designing and implementing Clinical Documentation Improvement (CDI) programs tailored to the needs of hospitals, physician groups, and healthcare

We providing complete full service, end-to-end coding and billing for ED visits. In addition to offering a complete ED revenue cycle management solution, we also

We recognize that every denied claim tells a different story—and resolving it demands more than just routine follow-up. Our approach to (A/R) and Denial Management

We providing highly trained & efficient team for pathology coding services, By utilising Current Procedural Terminology (CPT) codes to describe medical procedures,

We provides expert radiology coding services for our clients with fully knowledge in relevant CPT codes for radiology procedures, such as X-rays

We coding service affords our clients access to specialty-driven coding experts. A designated project manager will serve as your primary point of contact

RCM Services

Streamline Your Billing. Maximize Revenue.
From patient registration to final payment, our end-to-end RCM services help healthcare providers boost cash flow and reduce denials.

Eligibility and Insurance Verification services stand as linchpins in ensuring the

Effective Patient Scheduling is not just about managing Patient Appointments. Effective capture

The primary reason for claim denials is because a patient is not eligible for services billed to the insurer by the provider.

In the realm of effective medical billing, administrators often highlight coding and clinical documentation

Healthcare organizations often grapple with administrative stress caused by outstanding claims and

As the foundation of any healthcare insurance claims, patient’s demographic entry is very important

The process of claims submission involves parsing of claims information from the RCM

Denial management services serve as an indispensable pillar in upholding the

We provide comprehensive patient statement services. We generate patient

HEDIS measures assess healthcare plan performance. Coding supports abstraction, validation, and reporting accuracy.

We support all domains—including preventive care, chronic conditions, behavioral health, and utilization.

Yes. We offer full-service abstraction, QA review, and audit-ready overread support.

Absolutely. We are experienced with platforms like Inovalon, Advantmed, and Cotiviti.

Yes. Our abstraction team is trained on NCQA guidelines, season timelines, and medical record navigation.

All abstractions undergo dual review and inter-rater reliability checks to ensure 95%+ accuracy.

FAQ

Got questions? We’ve got answers.

Have questions about our services or how we work? We’ve compiled answers to the most common queries to help you better understand what Bannu Spy Health offers and how we can support your healthcare organization. Whether you’re new to medical coding and RCM or looking to switch providers, our FAQs are here to guide you.

Call Us

+1 (732) 762 6849

Mail Us

sales@bannuspyhealth.com