CitiusTech’s Quality Management Platform BI-Clinical^TM Receives NCQA Certification for All HEDIS^® MY 2020 Measures

Recent accreditation places CitiusTech in a select group of companies to be certified every year since 2013, for their quality management and analytics platform.

Princeton, N.J.  (March 11, 2021)- CitiusTech, 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 quality management and analytics platform.

BI-ClinicalTM has been certified by NCQA for HEDIS® Measurement Year 2020 (MY 2020) reporting season with coverage of performance measures including administrative and hybrid measures, allowable adjustment and Electronic Clinical Data System (ECDS) rules and systematic sampling.
BI-ClinicalTM is one of the most widely used quality and analytics platforms in North America, with deployments at over 5,000 payer and provider locations and supporting more than 70 million lives. BI-Clinical covers one of the largest varieties of regulatory (HEDIS®, HCC, STAR, Adult/Child
Core Set, PQA), contractual, operational and financial initiatives. It is powered by the industry’s fastest rules engine that runs at the speed of business to meet and exceed payer and provider needs.

HEDIS® is one of healthcare’s most widely used performance improvement tools with over 191 million people enrolled in plans that report HEDIS® results. BI-ClinicalTM has met the milestone of HEDIS® certification for the eighth consecutive year with the mission of helping customers meet
their compliance goals and stay up to date with regulatory requirements. 

“HEDIS® analytics and quality reporting is highly dynamic,” says Jeffrey Springer, senior vice president of healthcare solutions at CitiusTech. “The changing HEDIS timelines requires organizations to think differently. Leveraging HEDIS for not just regulatory compliance but also value based contracts, care management and population health programs becomes easier with the NCQA early delivery of measures. Coordination across programs enables improved collaboration and lower provider abrasion. Organizations need to be quick to adapt to these changes – doing things the same way is a recipe for regression.”

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 2020 NCQA adjustment rules. BI-Clinical also powers CitiusTech’s SCORE+, an end-to-end
HEDIS® performance management suite that helps healthcare organizations improve the quality of service offered to customers. SCORE+TM is powered by a robust workflow engine that drives multiple workflow requirements for health plans including medical records and yearround HEDIS® review.

About CitiusTech
CitiusTech is a major provider of healthcare technology services and solutions to healthcare technology companies, providers, payers and life sciences organizations. With over 4,000 professionals worldwide, CitiusTech enables healthcare organizations to drive clinical value chain excellence – across integration & interoperability, data management (EDW, Big Data), performance management (BI / analytics), predictive analytics & data science and digital engagement (mobile, IoT). CitiusTech helps customers accelerate innovation in healthcare through specialized solutions, healthcare technology platforms, proficiencies and accelerators. With cutting-edge technology expertise, world-class service quality and a global resource base, CitiusTech consistently delivers best-in-class solutions and an unmatched cost advantage to healthcare organizations worldwide.

Media Contact for CitiusTech:
Priyal Shah
Lead - Corporate Communications
priyal.shah@citiustech.com