Altegra Health's Solution Awarded NCQA Software Certification for 2013 HEDIS(R) Reporting Season

MIAMI LAKES, Fla., Jan. 24, 2013 (GLOBE NEWSWIRE) -- Altegra Health, Inc., a leading provider of technology-enabled revenue management services to healthcare organizations, today announced that the National Committee for Quality Assurance (NCQA) has issued its Software Certification for Altegra Health's Solution 2013. This is the eighth consecutive year the solution has achieved NCQA certification.

The Solution ( is the engine that powers Altegra Health's suite of Web-based HEDIS offerings. These offerings include certified rate reporting and analytics, hybrid medical record review and rate improvement strategies, all of which combine to enable health plans to effectively manage and optimize their complete HEDIS reporting and processes.

"HEDIS performance measures are more important than ever for health plans in today's national healthcare environment and Altegra Health's Solution is a comprehensive platform for quality measurement, reporting and improvement," said Kevin Barrett, president and chief executive officer of Altegra Health. "This year's certification from the NCQA for the 2013 HEDIS reporting season demonstrates our company's commitment to staying on the leading edge of HEDIS reporting standards."

"Earning NCQA's Software Vendor Certification Seal demonstrates that a vendor's system has accurately interpreted HEDIS performance measurement specifications," said Rick A. Moore, chief information officer of NCQA. "Altegra Health is to be commended for being reviewed for these services."

The Solution includes the NCQA-certified engine and advanced tools for managing the complete HEDIS and quality measurement improvement process, including: DUET™ – a tool that maps, uploads and evaluates a health plan's source data, allowing them to preserve their native data structure; HEDISLinx™ – a secure online portal that provides users with real-time access to both retrospective and prospective measures, metrics, rates and comparisons to plan targets so they can track, manage and improve their HEDIS scores year round; and RISE™ – a module that provides a specialized process for systematically implementing rate improvement strategies. Separately, Altegra Health offers Hot Pursuit™, a fully integrated hybrid medical record review service, providing client partners a one-stop solution for all their HEDIS needs.

"Altegra's quality measurement and reporting capabilities -- coupled with our company's ability to incorporate data from risk adjustment activities -- provides greater insight into opportunities to improve quality and the accuracy of risk scores, increase plan revenue, and more accurately direct member and provider engagement activities," Barrett said. "Altegra Health has a suite of solutions aimed at assisting health plans address quality of care and risk adjustment gaps that exist in the member population. These innovative solutions give the health plan the ability to help facilitate greater member engagement and ease the way to quality improvement throughout the year."

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

About NCQA

NCQA is an independent, not-for-profit organization dedicated to measuring the quality of America's healthcare. HEDIS (Healthcare Effectiveness Data and Information Set) is a set of standardized performance measures designed to make sure purchasers and consumers have the information they need to reliably compare the performance of managed healthcare organizations.

About Altegra Health

Altegra Health™ is a leading provider of business, technology, and consulting solutions that improve healthcare organization performance by aligning proven revenue management solutions with our health plan and provider clients' existing capabilities.

Altegra is uniquely positioned to provide risk adjustment, encounter reporting, eligibility and enrollment, quality reporting, reimbursement, and advisory services that enhance the member and provider experience, strengthen compliance, and improve overall healthcare organization performance. For more information, visit

CONTACT: Media Contact: Jeff Boone (480) 337-6605 jeff.boone@altegrahealth.comSource:Altegra Health