Quality Improvement

Advance Year-Round Quality and Maximize HEDIS® Season

Advance STAR ratings and target gaps in care

Reveleer's Quality Improvement suite empowers health plans and providers to unlock the full potential of both retrospective and year-round quality initiatives. Our end-to-end, AI-powered platform streamlines workflows, accelerates retrieval and abstraction, and guides teams towards efficient HEDIS® compliance.

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Unlock more time for impact

Year-round gap closure

Gain valuable time throughout the year to see if members are receiving the care needed prior to the next HEDIS reporting season. Many quality organizations can feel pressured late in the year to identify and close gaps. A proactive approach leads is vital to optimizing Quality scores and improving performance on STAR ratings.

AI-driven speed & accuracy

Reveleer's Quality Improvement solutions are powered by our Evidence Validation Engine: EVE™.

EVE™ helps Quality organizations to navigate patient charts and identify coding discrepancies and potential care gaps. Designed with generative AI to emulate abstractors, EVE™ is transparent and builds trust through its reliance on M.E.A.T. standards for clinical discovery with full chart reference-ability for more transparent abstraction guidance.

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Confidence through enhanced compliance

Stay ahead of regulations

Maintain continuous monitoring and adherence to ever-evolving quality standards. Reveleer helps mitigate errors and associated penalties.

Expand value-based care with Year-Round Quality

Reveleer's year-round quality solution empowers you to:

Increase capacity

As value-based care grows, it’s time for a new approach to Quality Improvement, one less reliant on manual record collection, time consuming abstraction and last-minute pushes to close gaps late in the year.


Reveleer helps to streamline workflows so you can free up your resources to tackle the measures that matter.

Accelerate retrieval and abstraction

Get ahead of the curve and address gaps through the year, laying the foundation for HEDIS success.

Our Evidence Validation Engine, EVETM guides abstractors to key member insights linked seamlessly to clinical source documentation.

Monitor success continuously

Ensure consistent quality scoring through ongoing monitoring and engagement with the latest regulatory requirements.

Stronger Future Performance. Report accurate administrative rates for HEDIS® and other quality initiatives, setting the stage for sustained success.

Simplify HEDIS audits with one AI platform

Reveleer simplifies medical records retrieval and improves the speed and accuracy of your abstractors. This translates to optimized HEDIS® rates for both hybrid and administrative measures.

Retrieval

Reveleer simplifies the medical record retrieval process, ensuring your teams get the clinical data they need as fast as possible. Reveleer uses AI and automation to accelerate recovery and improve retrieval rates. Our platform sorts massive volumes of medical data and aligns it to the right member with intelligent data ingestion and document sorting. Our solution simplifies and accelerates provider outreach with automation that saves time and resources.

Abstraction

Revolutionize your HEDIS® initiatives with EVETM, the new best friend of your abstraction teams. EVETM enhances the productivity of abstraction to streamline the HEDIS® audit process. EVETM provides clinical insights and links to supporting evidence, improving turnaround times and accuracy while ensuring compliance with regulatory requirements.
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