CitiusTech’s BI-Clinical Platform NCQA Certified for All HEDIS® 2019 Measures

a leading provider of healthcare technology services and solutions, has
received the National Committee for Quality Assurance (NCQA) Healthcare
Effectiveness Data and Information Set (HEDIS®) certification for BI-Clinical,
its healthcare business intelligence (BI) and analytics platform.
BI-Clinical has been certified by NCQA for its 2019 HEDIS coverage
performance measures, including administrative and hybrid measures and
systematic sampling.

BI-Clinical is one of the most widely used BI and analytics platforms in
the healthcare industry, with deployments at over 5,000 payer and
provider locations across North America, supporting more than 70 million
lives. BI-Clinical covers multiple regulatory measures (Medicaid, HEDIS,
HCC, STAR), contractual, operational and quality programs and is powered
by industry’s fastest rules engine that runs as often as needed to meet
and exceed customer needs.

BI-Clinical powers CitiusTech’s SCORE+,
an integrated platform for comprehensive quality management for health
plans. SCORE+ is powered by a robust workflow engine that drives
multiple workflow requirements for health plans including medical
records and year-round HEDIS review.

“BI-Clinical is the only solution in the industry that is certified for
both payer and provider-centric performance indicators, giving payers
the flexibility to drive provider rules as advocated by 2019 NCQA
adjustment rules,” says Shyam Manoj, vice president of Health Plans and
Payers at CitiusTech. “BI-Clinical and SCORE+ integrate seamlessly and
provide an end-to-end solution to deliver superior HEDIS / STARs
performance for health plans.”

BI-Clinical offers an extensive set of configurable apps and the largest
measure library in the industry, covering more than 900 key performance
indicators (KPIs) around federal and commercial initiatives, including
the Merit-based Incentive Payment System (MIPS), ACO, HEDIS®, Physician
Quality Reporting System (PQRS), value-based payments and other
contractual measures. In addition, BI-Clinical helps customers
proactively engage with member populations and reduce overall per member
per month (PMPM) cost.

BI-Clinical’s BIC-RMM
is the industry’s first consolidated application to define, configure,
test and manage all clinical, financial and operational rules across the
payer organization, including custom measures, financial/operational
KPIs and cohorts for member outreach. CitiusTech also recently launched BIC-Audit,
the healthcare industry’s first solution for comprehensive audits of
clinical measures, cohorts and rules.

“The changing payer-provider relationship is driving the need for an
integrated approach to quality management,” says Jeffrey Springer,
senior vice president of Healthcare Solutions at CitiusTech. “Creating
and managing rules for care, risk, network, analytics, quality and
regulatory programs all from the same environment enables an
enterprise-wide quality approach with proven capabilities that drive
improvement. BI-Clinical enables healthcare players to adapt to these
changes with its up-to-date and certified technological solutions.”

About CitiusTech

is a provider of healthcare technology services and solutions to medical
technology companies, providers, payers and life sciences organizations,
with over 3,500 professionals worldwide. CitiusTech’s services and
solutions include healthcare software development, healthcare
interoperability, regulatory compliance, BI/analytics, consumer
engagement, care coordination and population health management.
CitiusTech helps customers accelerate innovation in healthcare through
number of solutions and accelerators for clinical quality reporting,
healthcare big data, cloud computing, mobile health and predictive
analytics. With cutting-edge technology expertise, world-class service
quality and a global resource base, CitiusTech consistently delivers
best-in-class solutions at an unmatched cost advantage to healthcare
clients worldwide.

About National Committee for Quality Assurance (NCQA)

NCQA is an independent, not-for-profit organization dedicated to
assessing and reporting on the quality of managed care plans, managed
behavioural healthcare organizations, preferred provider organizations,
new health plans, physician organizations, credentials verification
organizations, disease management programs and other health-related
programs. *HEDIS is a registered trademark of the National Committee
for Quality Assurance (NCQA)


Priyal Shah
Corporate Marketing

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