Reveleer, a leader in the U.S. medical record retrieval and review (MRR) industry, announced today that CareSource, headquartered in Dayton, OH, is leveraging Reveleer, a Software-as-a-Service (SaaS) platform to complement their critical Quality Improvement and HEDIS® 2018 submission efforts.
With expanding Medicaid, ACA Marketplace and Medicare populations, CareSource sought a partner that could provide high-quality chart retrieval and abstraction services while also providing technology that would enable CareSource to actively engage their provider network and Reveleer’s abstraction team, to ensure the highest possible outcomes.
Reveleer’s operations team facilitate in-house retrieval and abstracting, while offering medical providers numerous options for transferring requested charts. Reveleer’s proprietary software, Secure Virtual Print (SVP), eliminates paper, reduces provider abrasion, and accelerates receipt of medical records. Additionally, the MRRV Audit Wizard significantly reduces time spent preparing and submitting both convenience and validation audits.
Reveleer provides real-time visibility and full transparency into CareSource’s medical record retrieval and abstraction results. It enables CareSource to control their timeline, manage internal and external SLAs, determine whether they are ready for audit, and quickly and easily create HEDIS® packages to give to auditors.
“With a shift to value-based care, health plans are investing more in Quality/HEDIS®,” said Jay Ackerman, CEO of Reveleer, “Our mission is to provide health plans such as CareSource with the technology and expert services to confidently manage these critical and time-sensitive cycles.”
CareSource is a nonprofit nationally recognized as an industry leader in providing member-centric health care coverage. Founded in 1989, CareSource administers one of the nation’s largest Medicaid managed care plans. Today, CareSource offers individuals and families comprehensive health and life services including Marketplace and Medicare Advantage plans.
Headquartered in Dayton, Ohio, CareSource serves more than 1.8 million members in Ohio, Kentucky, Indiana, West Virginia and Georgia. CareSource understands the challenges consumers face navigating the health system and works to put health care in reach for those it serves. For more, visit caresource.com, follow @caresource on Twitter, or like CareSource on Facebook.