Solutions

Pioneering the future of value-based care

Value-based care solutions

One platform for a changing healthcare landscape

Harnessing generative AI for value-based care solutions

A new evolution has come to value-based care. The upcoming CCMI deadline will increase the number of people on value-based care programs by 2030. At the same time, payers and providers are facing heighted focus today on reimbursement accuracy and uncertainty tomorrow, driven by the shift from HCC Model V24 to V28. Patient preferences are also changing, forcing providers to adapt their practices. Drawing on 15 years of experience, Reveleer built its Platform to solve the current and future challenges on the front lines of the value-based care industry.

Reveleer value-based care solution platform

Move your organization forward with Reveleer's value-based care enablement platform

Cut through the noise of care data to prioritize patient care, achieve faster results and streamline operations.

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Patient-centered insights

Break free from data silos. Our Platform provides a complete view of patient health across the care continuum. Reveleer’s Platform seamlessly brings together a variety of data sources and formats into a longitudinal view of patient care.

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Adapt to change

As 2030 approaches and every Medicare beneficiary shifts to value-based care, our Platform is your ultimate solution to stay ahead and fully aligned with CMS rules. Our AI drives best-in-class speed, accuracy and compliance that adapt to a changing regulatory environment.

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Integrated solutions

Escape the fragmented value-based care data landscape. We unify patient data from the point of care across Clinical Intelligence, Risk Adjustment, Quality Improvement and Member Management to capture a comprehensive view of a patient's health journey.

An evolution in value-based care performance

Reveal hidden patient insights

Reveal untapped potential in your patient data at the point of care. Use our insights to uncover undiagnosed conditions to keep the focus on patients instead of administrative tasks.

Redefining risk adjustment insights

Reduce manual coding errors and ensure capture of all relevant risk factors with AI-powered insights. The result is fast, accurate and complete risk adjustment programs.

Advance quality improvement

Uncover trends and identify high-risk members proactively. Targeted interventions driven by data-driven analytics lead to better patient outcomes and improved STAR ratings.

Identify the right members first

AI pinpoints members with the most significant impact on your risk and quality scores, allowing you to prioritize resources and interventions.

Automate data ingestion

AI and NLP (Natural Language Processing) extract data from various sources, building a comprehensive member view and eliminating the need for manual data entry.

Accelerate coding and abstraction

Our AI-powered Evidence Validation Engine, EVE TM, accelerates coding workflow to minimize errors and improve efficiency. This means fast and accurate clinical review.

Simplify medical record collection

Expedite medical record retrieval to start Risk Adjustment and Quality Improvement programs faster.

Eliminate data silos

Eliminate fragmented data and the need for disparate systems with a unified platform that consolidates data into a single source of truth.

Streamlined member workflows

Simplify your processes with a single platform from enrollment through submissions.

Embrace the future with confidence

Clinical Intelligence Solution
Patient insights at the point of care.

Surface potential diagnosis gaps to providers in care by tapping a nationwide network of clinical data to deliver a longitudinal patient compendium delivered pre-encounter in provider workflows.

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MA RADV Audit Solution
Simplify audits. Protect revenue.

From data ingestion to CMS submission, streamline each step of the RADV audit for faster, more reliable outcomes. Combine retrieval, intelligent coding validation, reduced errors, and audit defensibility with Reveleer.

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Medical Record Retrieval Software
Smarter, faster retrieval.

Collect and manage massive volumes of medical record data at scale with AI-enabled workflows. Minimize errors through intelligent data extraction and document routing.

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Member Management Solution
A unified view for optimal care delivery.

Gain a holistic view of your members with centralized data and efficient enrollment processes, reducing administrative burden and improving overall program efficiency.

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Quality Improvement Solution
Proactive care for better outcomes.

Proactive care delivery with data-driven analytics empowers you to identify and address high-risk members, leading to improved STAR ratings and better patient outcomes.

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Risk Adjustment Solution
Maximize accuracy. Minimize waste.

Operate proactively with data-driven analytics to identify and address high-risk members, resulting in better RAF accuracy and improved revenue transparency.

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