HEDIS / Quality Measure Tracking for Medical Billing Managers with Change Healthcare
The Problem
Value-based contracts tie revenue to HEDIS measures, but most Revenue Cycle practices only realize they're off-target at year-end when it's too late to fix.
What We Build in Change Healthcare
AI tracks every measure gap in real time from Waystar, schedules outreach for overdue patients, and reports attainment monthly — practices hit bonus thresholds instead of missing them. Purpose-built for teams running Change Healthcare — uses the native API or agent integration so nothing leaves the system of record.
Change Healthcare Integration Approach
Audit your Change Healthcare configuration
We map the specific Change Healthcare objects, custom fields, and workflows the automation needs to touch for your revenue cycle practice.
Build on the Change Healthcare API or agent
Integration happens inside Change Healthcare — no data leaves the system, no parallel tool for your team to learn, no license changes.
Human-in-the-loop handoff
Every automation routes exceptions back to a human in Change Healthcare with enough context to act — AI handles the 80%, your team owns the judgment calls.
See this running in your Change Healthcare instance
30-minute call. We'll look at your actual Change Healthcare setup and show exactly how this workflow fits.