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HEDIS HYBRID CHART ABSTRACTION

The measure needs a date and a result. The chart has 400 pages.

HEDIS hybrid chart abstraction services locate the numerator evidence and service dates each measure requires and cite the page carrying them. Your abstractor reviews a built worklist instead of reading every chart cold, and the HEDIS compliance auditor sees a citation behind every hit.

Click any row → the source page it cites
Measure abstraction · Case #IME-4812 documented
Adams, Timothy · hybrid sample chart
342 pp / 2 packets received logged
11 duplicate pages removed free
p.140 — wrong patient quarantined
Pages 342 Documents 27 Cited 100%

The measure specification is published. So is the auditor.

We do not build for a case type until we can name the standard that defines a correct output and the person who grades the file against it. In HEDIS reporting, both are already published.

The standard and the referee
The rulebook
  • The NCQA HEDIS Technical Specifications for the measurement year, which define each measure's numerator, denominator, exclusions and allowable data sources
  • The NCQA HEDIS Compliance Audit standards and the medical record review validation process
  • The measure-specific service date windows, which decide whether an otherwise valid result counts
  • The plan's own abstraction tool conventions and over-read protocol
The referee
  • The NCQA-certified HEDIS compliance auditor, who validates the medical record review and can invalidate a measure
  • NCQA, whose accreditation and Health Plan Ratings run on the submitted rates
  • CMS, where Star Ratings and the associated payment turn on the same measures
Seasonal abstractor headcount reading full charts to find one date and one value Flat 10¢/page here, duplicates free
Measure abstraction · Case #IME-4812 cited 100%
Packet342 pp / 2 packets · 11 deduplicatedlogged
Numerator evidenceResult and value, page-citedcited
Service dateChecked against the measure windowcited
No qualifying evidenceNothing in the chart meets the specflagged
Abstraction delivered · cited 100% · no rate submitted
How it works

3 steps between the chart and the abstractor.

01

Send the sample charts

The hybrid sample as you receive it — provider EHR exports, faxed records, scanned lab reports — in any format.

02

We return the abstraction, page-cited

For each measure, the numerator evidence and its service date, cited to the page, with charts that contain nothing qualifying flagged rather than left ambiguous.

03

Your abstractor confirms and enters

Review, over-read, and entry into the abstraction tool stay with your team, under your audit protocol.

The boundary, in writing

Evidence for the abstractor, not a submitted rate.

We locate and cite the numerator evidence and service dates the specification names, and we flag charts where nothing qualifies. We do not enter data into your abstraction tool, calculate a rate, submit to NCQA, or certify a measure as audit-ready. Those stay with your abstraction team and your auditor.

A flagged chart is a real answer. Recording a hit the auditor will later invalidate costs the measure and, in a bad year, the audit finding that comes with it.

Audit trail · Case #IME-4812 exportable
08:12Packet received · 342 pp / 2 packetssystem
08:3111 pages deduplicatedsystem
08:44p.140 flagged — wrong patientsystem
08:54Measure abstraction complete · abstraction complete · measures cited · cited 100%system
09:20Measure abstraction reviewed · citations verifiedreviewer
09:26Measure abstraction exported · abstraction tool entry made off-platformreviewer
Every access logged · file deleted 30 days after delivery
Why Medrecords AI

The rules the platform never breaks.

Medrecords AI EVERY LINE CITED
CASE #IME-4812 · ADAMS, T.342 pp
2/14 — ER visit, right knee p.4
4/18 — arthroscopic surgery p.61
p.140 — wrong patient quarantined
Medrecords AI
Read every page · cite every line

HIPAA, under a signed BAA

Every file is handled under our Business Associate Agreement, from the first byte.

Never trains a model

Your records are never used to train any AI model — ours or anyone else's.

Every line cited

If we can't cite it, we don't say it. Every sentence links to its source page.

Deleted after delivery

Files are deleted 30 days after delivery, with a full audit log of every access.

Powered by the platform

4 capabilities behind every measure abstraction.

The measure abstraction is 1 deliverable of the same platform that reads, sorts, and cites the whole record.

FAQ

HEDIS hybrid abstraction, answered.

No. We deliver a page-cited worklist: the numerator evidence and its service date for each measure, or an explicit flag when nothing in the chart qualifies. Review, entry, over-read and submission stay with your abstraction team under your audit protocol.

Every hit carries a citation to the page showing the result and the date, so an auditor validating medical record review can go straight to the source. What the auditor tests is whether the evidence is there; a citation is the fastest way to show it.

The one you're reporting. The specifications change year to year, and a numerator definition or a service date window that shifted is exactly where an abstraction goes wrong. Tell us the measurement year and the measure set with the sample.

No. Medrecords AI does not retrieve records from providers or facilities. You bring the records you already have — review starts in minutes from upload. Retrieval vendors take days; you can keep yours and still cut the review to minutes.

Send 1 file. We'll tell you what we can read.

No obligation. If the case type is buildable we'll scope it; if it isn't, we'll say so.