Powering HEDIS measures through AI-powered medical record retrieval
Business challenge
A leading healthcare services firm that supported medical record retrieval for health plans’ HEDIS measures deadlines was relying on manual workflows including editing and assembling provider packets, creating batch uploads, and reconciling spreadsheets.
They wanted to drive efficiency by reducing the reliance on manual workflows and identifying opportunities for automation to increase the speed and accuracy of retrieval.
Optimizing provider outreach to meet HEDIS deadlines
To overcome the limitations of manual retrieval processes, the health services firm adopted Reveleer’s healthcare technology platform to streamline provider outreach with AI-powered record retrieval and intelligent automation.
Using an SQL process, they automated outreach workflows and chase identification based on specific criteria, triggering outreach requests and automating follow-up statements.
The firm was also able to flag validated addresses so staff could focus on potentially inaccurate addresses, streamlining manual verification for faster turnaround.
HEDIS quality measures: A Path to future success
By automating provider outreach processes, the healthcare services firm achieved significant efficiency gains in HEDIS retrieval. These gains trainslated to faster turnaround times, improved retrieval rates, and a more streamlined user experience. As the firm’s focus on data validation expands, these improvements will allow staff to manage a higher volume of records and maintain its competitive edge.
Next step: Drive HEDIS success with Reveleer
The health services firm has drastically reduced the amount of time spent on manual workflows surrounding their HEDIS retrieval process. The reliability and high level of accuracy supplied by Reveleer’s AI-powered solution has enabled the firm to grow their business by processing a significantly higher volume of records. Greater efficiency means they can prioritize key areas for strategic growth.
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