HEDIS AI
AI-Powered
HEDIS Chart Reviews
Manual HEDIS reviews are slow, error-prone, and costly. Our AI instantly analyzes patient records to identify eligibility, assess compliance, and extract clinical evidence with unmatched speed and accuracy.
CORE FEATURES
AI-Powered Compliance.
Real-time Insights. Better Outcomes.
HEDIS Eligibility Detection
- Automatically scans charts to determine which patients qualify for each HEDIS measure — based on age, diagnosis, procedures, and enrollment criteria.
Measure Compliance Analysis
- For eligible charts, our AI assesses real-time compliance with over 90+ HEDIS measures, from preventive screenings to chronic condition management.
Evidence Extraction & Audit Trail
- No guesswork. Get structured, traceable evidence for each compliant chart — including dates, clinical notes, and coding references (ICD-10, CPT, LOINC, SNOMED).
Gaps in Care = Opportunities
- Flag non-compliant cases and uncover root causes — whether it's a missing screening, overdue lab, or a documentation gap.
Seamless Integration
- Works across EHRs, supports both structured and unstructured data, and plugs into existing workflows with API-ready architecture.
HIPAA-Compliant & Always Learning
- Our AI engine is privacy-first and continuously trained on evolving HEDIS criteria — so you're always a step ahead.
Real Results for
Healthcare Systems
80% Time Savings
in chart abstraction
Improved HEDIS Scores
better Star Ratings
Reduced Revenue Loss
from poor compliance
WHO WE SERVE
Built for Healthcare Leaders
Health Plans & Payers
Streamline HEDIS reviews and improve quality ratings
ACOs & Health Systems
Optimize care coordination and value-based performance
Quality Improvement Teams
Focus on strategy rather than manual chart reviews
HEDIS Abstractors & Auditors
Eliminate tedious manual reviews and ensure accuracy
Ready to Modernize
HEDIS Review?
Let AI do the heavy lifting. Book a demo and see how we help you turn compliance into a competitive advantage.
© 2025 BulwarkHealth. All rights reserved.