Achieve audit readiness faster with AI-powered retrieval
Business challenge
A large payer organization struggled to meet audit deadlines because of manual, cumbersome retrieval processes – even after hiring and training new contingent workers each year.
The payer's new IVA leadership had little visibility into the program’s real-time progress but realized that, without advanced technology, they could not cover the volume of records in advance of audit deadlines.
Reveleer’s AI-powered retrieval solution for increased speed and accuracy
Reveleer's AI-powered retrieval solution accelerated the health plan's work by automating tasks like records processing, outreach, and chart reviews for a network of more than 100K providers.
The platform's Provider Gateway facilitated seamless data exchange, empowering providers to upload charts effortlessly – a process that previously took more than 120 hours to complete.
Finally, Reveleer’s solution automated the process of chart review using AI models that continuously improved as they learned, saving 1,100 hours of staff time and reducing human error.
Sharing data across an expanded program
Adopting Reveleer has transformed the entire retrieval process for the payer organization. By leveraging AI in healthcare workflows and capabilities like the Provider Gateway, the health plan has eliminated manual workflows and is now positioned for continuous improvement. With Reveleer's value-based care platform, the team hit internal milestones ahead of schedule and experienced a smoother audit process.
Next step: meet audit deadlines with ease
The payer organization’s leadership expects even greater gains in retrieval and coding efficiency in future audit cycles. As Reveleer’s AI-powered healthcare solution continues to train on provider data, it becomes increasingly accurate, further reducing the need for manual (and time-consuming) chart review. Now, racing to meet audit deadlines is a thing of the past and the plan can refocus energy on the other strategic priorities.
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