Our Certifications
We are on a mission to transform healthcare — see what certifications we've earned to enable client success.
The cornerstone of our commitment to you is our trusted brand. From the ingestion of health information to the delivery of analytics, our conformance to privacy and security standards coupled with proven usability provides the foundation for excellence in our platform. Explore our certifications to learn more about how we are providing a comprehensive technology platform to solve the most complex and demanding health care data needs.
NCQA eCQM Certification ™
NCQA’s eCQM Certification is precise, automated testing that verifies compliance with eCQM specifications and the ability to report eCQMs using the Quality Reporting Document Architecture (QRDA) Categories I and III. Automating testing logic increases the rigor of measure review and improves the accuracy of reporting measures that are based on complex software logic.
- Health plans can save time and money by using NCQA-certified logic to produce standard supplemental data for Health Effectiveness Data Information Set (HEDIS) reporting, a requirement of Health Plan Accreditation.
- Eligible providers and hospitals can use validated logic to use in reporting quality measures to CMS for the Quality Payment Program, as well as NCQA’s Patient-Centered Medical Home (PCMH).
2020 NCQA-Certified eCQMs
- CMS 122 Diabetes: Hemoglobin A1c (HbA1c) Poor Control
- CMS 124 Cervical Cancer Screening
- CMS 125 Breast Cancer Screening
- CMS 127 Pneumococcal Vaccination Status for Older Adults
- CMS 128 Anti-depressant Medication management
- CMS 130 Colorectal Cancer Screening
- CMS 131 Diabetes: Eye Exam
- CMS 134 Diabetes: Medical Attention for Nephropathy
- CMS 139 Falls: Screening for Future Fall Risk
- CMS 146 Appropriate Testing for Children with Pharyngitis
-
CMS 154 Appropriate Treatment for Children
with Upper Respiratory Infection (URI) -
CMS 155 Weight Assessment and Counseling for
Nutrition and Physical Activity for Children and Adolescents - CMS 159 Depression Remission at Twelve Months
- CMS 165 Controlling High Blood Pressure
- CMS 347 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
2019 NCQA-Certified eCQMs
- CMS 117 Childhood Immunization Status
- CMS 122 Diabetes: Hemoglobin A1c Poor Control
- CMS 124 Cervical Cancer Screening
- CMS 125 Breast Cancer Screening
-
CMS 127 Pneumonia Vaccination Status
for Older Adults - CMS 128 Anti-depressant Medication management
- CMS 130 Colorectal Cancer Screening
- CMS 131 Diabetes: Eye Exam
- CMS 134 Diabetes: Medical Attention for Nephropathy
-
CMS 137 Initiation and Engagement of Alcohol and
Other Drug Dependence Treatment
- CMS 139 Falls: Screening for Future Fall Risk
-
CMS 146 Appropriate Testing for Children
with Pharyngitis - CMS 153 Chlamydia Screening for Women
-
CMS 154 Appropriate Treatment for Children
with Upper Respiratory Infection (URI) -
CMS 155 Weight Assessment and Counseling for
Nutrition and Physical Activity for Children and Adolescents - CMS 159 Depression Remission at Twelve Months
- CMS 165 Controlling High Blood Pressure
NCQA Measure Certification
NCQA’s HEDIS Health Plan Measure Certification℠ is precise, automated testing that verifies compliance with HEDIS Specifications.The program’s automated testing processes increase the rigor of a HEDIS measure review and improve measures’ accuracy. Certification helps health plans and other reporting organizations find vendors that can help them meet their reporting goals.
- “HEDIS Health Plan Certified Measures℠ is a service mark of the National Committee for Quality Assurance (NCQA)”
- “The Healthcare Effectiveness Data and Information Set (HEDIS®) is a registered trademark of NCQA.”
MY2022 HEDIS Certified Measures
- AHU Acute Hospital Utilization
- AMM Antidepressant Medication Management
- BCS Breast Cancer Screening
- BPD Blood Pressure Control for Patients With Diabetes
- CBP Controlling High Blood Pressure
- CCS Cervical Cancer Screening
- CHL Chlamydia Screening in Women
- CIS Childhood Immunization Status
- COA Care for Older Adults
- COL Colorectal Cancer Screening
- EDU Emergency Department Utilization
- EED Eye Exam for Patients With Diabetes
- FMC Follow-Up After Emergency Department Visit for People With High-Risk Multiple Chronic Conditions
- HBD Hemoglobin A1c Control for Patients With Diabetes
- HFS Hospitalization Following Discharge from a Skilled Nursing Facility
- HPC Hospitalization for Potentially Preventable Complications
- IPU Inpatient Utilization – General Hospital/Acute Care
- KED Kidney Health Evaluation for Patients With Diabetes
- OMW Osteoporosis Management in Women Who Had a Fracture
- PCR Plan All-Cause Readmissions
- SPC Statin Therapy for Patients with Cardiovascular Disease
- SPD Statin Therapy for Patients with Diabetes
- TRC Transitions of Care
- URI Transitions of Care
- WCV Child and Adolescents Well-Care Visits
MY2021 HEDIS Certified Measures
- ADV Annual Dental Visit
- AHU Acute Hospital Utilization
- AMM Antidepressant Medication Management
- BCS Breast Cancer Screening
- CBP Controlling High Blood Pressure
- CCS Cervical Cancer Screening
- CHL Chlamydia Screening in Women
- CIS Childhood Immunization Status
- COA Care for Older Adults
- COL Colorectal Cancer Screening
- EDU Emergency Department Utilization
- HFS Hospitalization Following Discharge from a Skilled Nursing Facility
- HPC Hospitalization for Potentially Preventable Complications
- IPU Inpatient Utilization – General Hospital/Acute Care
- MPT Mental Health Utilization
- OMW Osteoporosis Management in Women Who Had a Fracture
- PCR Plan All-Cause Readmissions
- SPC Statin Therapy for Patients with Cardiovascular Disease
- SPD Statin Therapy for Patients with Diabetes
- TRC Transitions of Care
- URI Transitions of Care
- WCV Child and Adolescents Well-Care Visits
MY2020 HEDIS Certified Measures
- ADV Annual Dental Visit
- AMM Antidepressant Medication Management
- ART Disease-Modifying Anti-Rheumatic Drug Therapy for Rheumatoid Arthritis
- BCS Breast Cancer Screening
- CBP Controlling High Blood Pressure
- CDC Comprehensive Diabetes Care
- CHL Chlamydia Screening in Women
- COA Care for Older Adults
- COL Colorectal Cancer Screening
- EDU Emergency Department Utilization
- IPU Inpatient Utilization – General Hospital/Acute Care
- OMW Osteoporosis Management in Women Who Had a Fracture
- PCR Plan All-Cause Readmissions
- SPC Statin Therapy for Patients with Cardiovascular Disease
- SPD Statin Therapy for Patients with Diabetes
- TRC Transitions of Care
- WCV Child and Adolescents Well-Care Visits
eHealth Exchange Validated Product
- The eHealth Exchange Product Testing Program was developed to provide a high degree of assurance that systems developed for use by eHealth Exchange participants conform to the eHealth Exchange Performance Specifications and underlying standards and interoperate with other systems without error or further customization, while remaining conformant.
- Vendors that successfully pass a rigorous set of required conformance tests help significantly reduce the level of effort and cost to any organization that onboards using an eHealth Exchange Validated Product.
"Providers and teams in every health care setting are focused on value-based care and how the seamless exchange of patient information can be the enabler of better outcomes and contract success. Becoming an eHealth Exchange Validated Product expands upon and reinforces our commitment to support our clients as they look to improve outcomes with technology and analytics built on the most comprehensive, up-to-date health information."
Naren Parimi
Chief Technology Officer KPI Ninja
NCQA Data Aggregator Validation (DAV) Certified Data Partner
NCQA’s Data Aggregator Validation program evaluates clinical data streams to help ensure that health plans, providers, government organizations and others can trust the accuracy of aggregated clinical data for use in Healthcare Effectiveness Data and Information Set (HEDIS®) reporting and other quality programs.
- A Certified Data Partner is an organization that does not have legal access to data to conduct primary source verification but may meet other DAV standards and supports DAV Aggregators (Responsible Parties) for validation of the data stream.
- KPI Ninja is certified for certain standards within the program, showing that we are a good partner to support organizations that want to get data streams validated by NCQA. The standards for which KPI Ninja are certified on are portable, which means customers of KPI Ninja wishing to get data streams validated will have a reduced lift during the Data Aggregator Validation process.
"KPI Ninja brings technical expertise and innovation that directly supported our success in achieving DAV status for WISHIN. KPI Ninja is a leader in advancing value-based care, and we are proud to partner with KPI to enable better health outcomes."
Joe Kachelski
CEO, WISHINAbout Us
KPI Ninja is a mission-driven company that offers technology solutions that enable and empower those that work in the health care enterprise. Our innovative products are renowned for their powerful capabilities, flexible configurations, and comprehensive applications to truly fulfill the promise of data-driven health care.