Services

Adding scale and precision to value-based care

Value-based care expertise meets service excellence

Unmatched expertise, elevated service

We understand that successful execution in value-based care requires a unique blend of technology and human knowledge. Our service team brings deep experience to the table, ensuring fast, accurate and complete projects, every time. Our Platform serves as a powerful differentiator, but our expertise elevates us to service excellence.

Eliminate the complexities of value-based care

At Reveleer, we stand out from the crowd. Our team boasts unparalleled expertise in risk adjustment, quality improvement, and member management. We understand the intricacies of value-based care workflows and the HRADV-IVA audit process. We combine this expertise with our innovative Platform and artificial intelligence to advance your value-based care programs and support your HRADV-IVA audits with confidence.

Multiple service options

Choose the level of engagement that works for your team.

Self-service

Use the Reveleer Platform to perform every aspect of the medical record retrieval and review process with your own team.

Empowerment & Control: Take charge of your own experience, learn at your own pace, and troubleshoot issues independently.

Streamlined Experience: Enjoy a user-friendly interface that makes it easy to find the information and support you need, when you need it.

Faster Resolutions: Access a knowledge base, FAQs, or community forums to quickly find solutions and get back to what matters most.

Collaboration

Retain the freedom to run your programs with your own staff. Reveleer can help with extra hands and expertise as needed.

Full-service

Leverage Reveleer's experts to handle every aspect of the medical record retrieval and clinical review process, freeing your team to focus on other high impact priorities.

Services tailored to your needs

We offer a comprehensive portfolio of services designed to integrate with your existing processes and drive your business forward

Data preparation

Provider data cleanup

Our meticulous data cleansing process removes inaccuracies in provider data, ensuring seamless data ingestion and downstream analysis for your value-based care programs.

Knowledge transfer & support

Training

Invest in your team's success with comprehensive training programs designed to empower them to utilize our services and manage workflows effectively.

Compliance support

HHS RADV IVA audit support

As a certified auditor since the program's inception, we bring a wealth of experience and a transparent platform to the table. We can help you navigate the annual ACA compliance audit and IVA (Initial Validation Audit) for a smooth and successful HHS RADV IVA audit process.

Data acquisition

Tech-enabled retrieval services

Leverage our software's automation and our team's experience to efficiently retrieve missing medical records on your behalf. We can also seamlessly integrate with your internal resources for a collaborative approach.

Outreach & communication management

Our team handles all aspects of provider outreach, including phone calls, faxes, emails, and mail. We track interactions and automate weekly statements for efficient communication.

Data abstraction & coding

Advanced abstraction service

Our team of certified abstractors utilizes advanced technology to extract relevant clinical data from retrieved records, ensuring accuracy and completeness for your Quality Improvement . Negotiated overread percentages guarantee the highest.

AI-powered coding services

Our cutting-edge technology handles complex retrospective coding projects, including clinical overread and quality assurance processes. This ensures fast, accurate and complete coding for retrospective risk adjustment programs.

Navigate RADV-IVA audits with confidence

Reveleer has been a certified auditor since the program's pilot year in 2016. Our experienced team and transparent platform ensure a smooth and successful audit experience:

AI-driven efficiency

Leverage Reveleer's technology for accurate and efficient review of various aspects of the audit, including:

Close gaps in care and improve patient outcomes

Pharmacy RXC claim validation

Medical record retrieval

Health status validations

HCC-mappable diagnosis code review

Provider signature attestations

Dedicated project management

We establish a clear cadence, project plan, and timeline to guide you through the entire audit process.

Complete transparency

Our proprietary software platform provides complete visibility and communication throughout the audit.

Final audit submission

Rely on Reveleer's expertise to ensure a successful final audit submission.

Invest in success

Discover the impact the Reveleer platform delivers through the voice of our customers.

AdventHealth logo, a healthcare customer of ReveleerArkansas Blue Cross Blue Shield logo, a healthcare customer of ReveleerArkos Health logo, a healthcare customer of ReveleerBlue Cross Blue Shield of Louisiana logo, a healthcare customer of ReveleerBridges Health Partners logo, a healthcare customer of ReveleerCareBridge logo - Reveleer long-term care customerCareFirst logo - Reveleer healthcare insurance customerHealth Care Service Corporation (HCSC) logo, a healthcare customer of ReveleerHonest Medical Group logo, a healthcare customer of ReveleerL.A. Care Health Plan logo, a customer of Reveleer healthcare solutionsManaged Care Solutions logo - Reveleer customer partnershipSuvida Healthcare logo, a customer of Reveleer healthcare solutionsTriple-S Salud logo - Reveleer healthcare customer
Upward Health logo, a healthcare customer of ReveleerVytalize Health logo, a healthcare customer of Reveleer