HEDIS/VBP4P Measurement, NCQA Measure Certification

Choosing the right vendor

Because health plans rely on quality measure reporting for decision making and for regulatory and contracting purposes, the reporting software they use for HEDIS®, VBP4P and other quality measure reporting must be accurate. NCQA Measure Certification validates organizations that develop, license and sell HEDIS, VBP4P and other quality-measure reporting software that calculates measures using administrative data sources.

Organizations that rely on data produced by NCQA-Certified software code can be confident that the code has gone through the industry’s most rigorous assessment of whether they provide accurate data. This helps lead to more accurate reporting than its peers that are not using code certified by NCQA.

Find a certified vendor

NCQA maintains a directory of vendors that have earned measure certification. Find a vendor to work with today (.pdf).

Verify your code with automated source code review

Health plans that want to verify their own software code can use NCQA’s automated source code review (ASCR) process. NCQA works with licensed organizations to apply the test-deck method to a selection of measures. Testing results are sent to the auditor. This replaces manual source code review for measures with a “pass” status.

Contact us through My NCQA to learn more about the ASCR process.

Organizations That Achieved 2018 ASCR Measure Certification
Health Plan Number of Measures Status
Aetna 50 Seeking

Become certified

Interested in becoming an NCQA-Certified vendor? Learn more about the process. The first step is completing an application and signing a 1-year certification agreement. Request an application through My NCQA. Select “Measure Certification” as the product/program type.

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