Reveleer Launches Retrospective Revenue Reconciliation as Part of Integrated Member Management Suite. July 18, 2023.…
On Demand Webinar: MAPD Revenue Reconciliation and Data Integrity: A Proven Playbook for Success. Discover proven strategies for reconciling data across sources with Baylor Scott and White.…
Our innovative platform offers a comprehensive solution that seamlessly integrates enrollment, premium billing and revenue reconciliation. By unifying critical functions on a single platform, we empower health plans to improve efficiency, reduce errors and highlight opportunities for member care.…
Enhancing revenue capture and outcomes with advanced patient targeting.…
Using IA, the firm’s staff no longer needed to conduct manual uploads, spreadsheet reconciliation, or call providers. As a result, they experienced a 50% improvement in outreach efficiency and delivered packets to providers three weeks faster than before. Highly accurate data aggregation.…
Reveleer's 2022 acquisition of Dynamic Healthcare Systems bolstered its integrated workflow platform, encompassing member management, revenue optimization, and HCC Analytics.…
This includes querying for records to support care management, medication reconciliation, and identification of care gaps for individual patients. As TEFCA states, these queries are “intended to support health care services for individual patients.”. How Reveleer Aligns with Treatment Use Case.…
Utilize claims encounter data to accurately predict future revenue adjustments. Get real-time visibility. Monitor the accuracy of risk capture and identify potential gaps in coding. Identify trouble areas. Pinpoint opportunities to improve RAF accuracy and close gaps in care.…
Through EHR-agnostic connections, the Reveleer platform packages pertinent patient information as a pre-encounter summary and shares it directly with the provider to proactively close care gaps, leading to better revenue performance, more accurate reimbursements, and better health outcomes.…
Accelerated revenue capture. By delivering highly accurate clinical insights to providers, AI solutions have the potential to make significant improvements in revenue capture.…
Tam has over 25 years of marketing experience creating and delivering successful go-to-market strategies, building high-performing marketing teams, and delivering high-growth pipelines and revenue streams.…
The acquisition of Dynamic Healthcare Systems in 2022 expanded Reveleer’s integrated workflow platform, now incorporating member management, revenue optimization, and HCC Analytics.…
I started off doing consulting and then subsequently, as the company grew and anyone who's listening to the call knows that recreating your revenue over and over again in a professional services firm isn’t easy, so I was looking for some transactional revenue and came up with an idea to outsource the…
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Drive efficiencies into Retrospective Risk Adjustment programs when HCCs are treated and coded at the point of care, reducing retrospective chases, minimizing coding inaccuracies and improving revenue transparency. Expedite gap closure at the point of care.…
Operate proactively with data-driven analytics to identify and address high-risk members, resulting in better RAF accuracy and improved revenue transparency. Maximize accuracy. Minimize waste. Learn More →. Do more with Reveleer.…
For our customers nationwide, the results are cost savings, revenue improvements, appropriate reimbursement, and rating increases. Health plan members see improved access and better care outcomes. 3. Our customers.…
On the provider side, people are still trying to squeeze out as much revenue from fee for service. On the health plan side, people are still trying to squeeze out as much savings from utilization management.…
And in most healthcare systems, you'd be based seeing your revenue on prevention so it wouldn't cause as much pain. I personally am a fan of Medicare Advantage for all. It's an idea that probably has some merit that has not been fully evaluated.…
Versus the ones who say, "Okay, we're going to certainly kind of milk the old revenue streams, but we're gonna, rather than sort of play 95% defense, 5% offense, we're going to play 70% offense, 30% defense", and there's every opportunity to do that.…