{"id":3540,"date":"2018-07-24T11:53:17","date_gmt":"2018-07-24T15:53:17","guid":{"rendered":"https:\/\/www.ncqa.org\/?page_id=3540"},"modified":"2026-01-13T16:54:18","modified_gmt":"2026-01-13T21:54:18","slug":"about-the-hedis-compliance-audit","status":"publish","type":"page","link":"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/hedis-compliance-audit-certification\/about-the-hedis-compliance-audit\/","title":{"rendered":"About the HEDIS Compliance Audit"},"content":{"rendered":"<p>The NCQA HEDIS<sup>\u00ae<\/sup> Compliance Audit\u2122 indicates whether an organization has capabilities for processing medical, member and provider information as a foundation for accurate and automated performance measurement, including HEDIS reporting. The audit addresses an organization\u2019s:<\/p>\n<ul>\n<li>Information practices and control procedures.<\/li>\n<li>Sampling methods and procedures.<\/li>\n<li>Data integrity.<\/li>\n<li>Compliance with HEDIS specifications.<\/li>\n<li>Analytic file production.<\/li>\n<li>Reporting and documentation.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The NCQA HEDIS\u00ae Compliance Audit\u2122 indicates whether an organization has capabilities for processing medical, member and provider information as a foundation for accurate and automated performance measurement, including HEDIS reporting. The audit addresses an organization\u2019s: Information practices and control procedures. Sampling methods and procedures. Data integrity. Compliance with HEDIS specifications. Analytic file production. Reporting and [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":3530,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-3540","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>About the HEDIS Compliance Audit - NCQA<\/title>\n<meta name=\"description\" content=\"The NCQA HEDIS\u00ae Compliance Audit\u2122 indicates whether an organization has capabilities for processing medical, member and provider information as a foundation for accurate and automated performance measurement, including HEDIS reporting.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ncqa.org\/programs\/data-and-information-technology\/hit-and-data-certification\/hedis-compliance-audit-certification\/about-the-hedis-compliance-audit\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"About the HEDIS Compliance Audit - 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