Prospective Risk Adjustment

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AI Solutions for Payers & Risk-Bearing Providers

Payers and providers are pressured to fully understand member risk, but they struggle with the volume of requests and lack data at the point of care. Reveleer empowers health plans and risk-bearing providers with highly reliable suspected diagnoses at the point of care. By delivering clinical insights seamlessly into existing point-of-care systems and processes, Reveleer helps to inform care decisions, more accurately reflect patient risk profiles and close gaps in care. 

Concise Patient-Risk Insights Delivered Pre-Encounter

The patient summary synthesizes and prioritizes suspected diagnoses with links to supporting clinical source documentation, to inform clinical decisions, risk assessment and quality review. This patient summary is delivered through bi-directional API integration into the EHR to make care gap closure actionable within provider workflows at the point of care while reducing chart review time. 

AI-Assisted Physician Documentation

The AI-powered clinical assisted documentation tool helps physicians document patient encounters quickly and accurately. Clinicians can efficiently document assessments and care plans to improve downstream data accuracy while reducing administrative burden, allowing clinicians to focus on patient care. 

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Reveleer Prospective Risk Features

TRANSFORMING DATA INTO INSIGHT

Reveleer’s clinical data ingestion capabilities and highly accurate AI make Prospective Risk Adjustment viable at scale. The Reveleer platform aggregates structured and unstructured patient data from over 45 electronic health record systems (EHRs) and 75+ national and regional health information exchanges (HIEs) as well as community providers, specialists, labs, prescriptions, and more.

Reveleer Prospective Risk Benefits

 

                                                  

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