The NCQA provides a challenge to health plans and their providers to achieve the highest levels of compliance. The Excedis Vision Team partners with its health care plans and ACO clients through the implementation of proven methods to support your diabetic membership in receiving these important examinations, closing care gaps, thereby improving compliance and achieving higher STAR ratings.
Our Services
Excedis has the experience and tools to improve your quality scores and STAR ratings.
We utilize the following process with our health care partners:
Identification
Identify the targeted diabetic members needing an exam and prioritize the primary care physician offices needing immediate attention.
Communication
Create customized communication outreach to members and their primary care physicians, including referral lists for eye care professionals in the member's network.
Coordination
Coordinate retinal screenings directly in primary care practices via its network of vision technicians. Vision technicians are certified by the handheld retinal scanners manufacturer via training sessions and a minimum amount of logged screening hours.
Capture
Capture retinal images and transmit them via a proprietary HIPAA-compliant portal for diagnosis by our team of Eye Care Professional in our Virtual Reading Center.
Execution & Measurement
Execution of these processes is facilitated by a dedicated Excedis Account Manager with help from the Support Team, from exam season through hybrid season to ensure timely and accurate measurement including customized analytics and encounter tracking to reach agreed upon goals.