UNIVAL is an industry leader in out-sourced provider site credentialing support services.  UNIVAL provides a comprehensive range of services from Site Credentialing Support Services to HEDIS Data Collection, Medical Record Abstraction and Pursuit Services to Quality and Disease Management Studies.

Before being assigned a site visit, UNIVAL’s comprehensive, national network of field personnel must pass stringent recruitment and training protocols.  Candidates that have NCQA/HEDIS background, 3 or more years of clinical experience, and/or utilization review or managed care experience are considered for staff in the field.  Once selected, UNIVAL field staff are provided with comprehensive training and support to ensure that reviews are completed according to your quality standards and ours.  UNIVAL’s Regional Project Administrators act as liaisons between you and our field staff to promote a single point of contact, easing your administrative burden.

The best possible independent reviews are delivered to customers through a multi-tiered Quality Assurance Program.  Quality checks are in place to ensure the best possible end results. UNIVAL obtains all pertinent information before scheduling takes place, through prompt and courteous communication with the provider sites and client. Tools are quality checked before delivery of the end product and the total process is ensured to be completed on time.

Your NCQA Accreditation efforts and quality improvement initiatives are upheld. through UNIVAL’s superior data collection, medical record abstraction and pursuit services. The importance of HEDIS reporting is understood and UNIVAL has software systems designed to support collecting, managing and reporting HEDIS measures which enable you to track the project from start to finish.  UNIVAL’s Project Managers administer over-reading, random audits and regular Inter-Rater Reliability studies to ensure data is abstracted accurately and according to Plan specifications.

As medical records are abstracted, UNIVAL captures the data in our HEDIS Data Management System (HDMS).  HDMS tracks the record collection process and generates reports detailing the status of each project’s total records received, percent completion, number of incomplete records, secondary provider status and other vital information.  With HDMS, UNIVAL’s clients know the exact status of their data collection projects throughout the entire process.

In addition to HEDIS data collection, UNIVAL has expertise in:

• Design of Data Collection Tools
• Development of Training Manuals
• Training of Nurse Abstractors
• Administration of Inter-Rater Reliability Studies
• Additional Record Abstraction
• Data Entry Services
• Consultation, Evaluation, and Analysis of HEDIS Data

UNIVAL can administer your HEDIS activities in total or by specific activity.  Select the services that work best for you.

UNIVAL’s core values are that quality and service matter.  When it comes to HEDIS initiatives – experience the UNIVAL difference!

UNIVAL has a network of highly skilled field staff, strategically located across the country. UNIVAL's field staff is trained to recognize areas of improvement and they routinely provide teaching points to provider office staff to improve quality of service for their patient population

Whether your data collection needs are local, regional or national UNIVAL’s experienced, professional staff will ensure that information is collected in an accurate and timely manner according to your specifications.  Provider offices routinely evaluate UNIVAL data collection specialists and comment:

“the site visit was handled very efficiently, professionally and the reviewer was considerate of the providers’ time and availability.”

“the reviewer was very professional, efficient and knowledgeable.”

“reviewer was very professional and thorough in all areas.  We have had several site surveys since our office has changed ownership.  Your reviewer has been the only person to actually ask all of the questions and offer suggestions.  She gains very high marks with me and our practice.”

“this was a very courteous and professional interview”.

Whether your needs are HEDIS data collection, disease management data, site reviews for credentialing or medical record reviews, let UNIVAL’s experienced staff work for you.

All UNIVAL Site Review services are designed to provide Health Plans with a consistent, comprehensive and quality measurement of patient management processes of participating providers.  UNIVAL utilizes a network of 250+ highly trained and experienced field staff to perform Initial or Recredentialing site review services that ensure providers are in compliance with plan-specific standards.

Our multi-tiered Quality Assurance Program ensures that the best possible independent reviews are consistently delivered to our customers.

All UNIVAL site review tools were developed using NCQA, JCAHO and URAC standards and guidelines.

All UNIVAL Site Review services are designed to provide Health Plans with consistent, comprehensive and quality measurements of the administration and patient management processes of participating providers.  UNIVAL utilizes a network of 250+ highly trained and experienced field staff to perform Component and Behavioral Health Site Review Services that ensure providers are in compliance with plan-specific standards.

Our multi-tiered Quality Assurance Program ensures that the best possible independent reviews are consistently delivered to our customers.

All UNIVAL site review tools were developed using NCQA, JCAHO and URAC standards and guidelines.