Prospective Review and Gap Closure ​

Powered by NLP​

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Reveleer’s Prospective Review uses Natural Language Processing (NLP) to speed up the process of gap closure while providing exceptional accuracy.

HOW IT WORKS

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WHY GAP CLOSURE WITH REVELEER'S NLP?

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ALL THE DATA YOU NEED 

Create supplemental administrative data for missing numerator events found in the chart, for both hybrid and administrative measures

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AUTOMATED COMMUNICATION

Identify members and providers to target for outreach with powerful reporting and campaign capabilities

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SMARTER PROVIDER OUTREACH

Focus on problematic providers that may require special outreach during the NCQA HEDIS project, with automated communication

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SUCCESSFUL GAP CLOSURE WITH COMPLETE INTEGRATION

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Member-Centric Review Module

Review of all potential care gaps at the member level from a single chart with an intuitive user interface and automated workflow

In-depth Gap Closure Reporting

An additional provider feedback loop for unresolved open care gaps impacting both HEDIS hybrid and administratively reported measures

Automated Provider Outreach

Identify open gaps, and take action on provider outreach using an automated workflow already built-in within the platform

HERE'S HOW OUR CLIENTS HAVE LEVERAGED REVELEER'S GAP CLOSURE WITH NLP​

 

 

  • In the past year over 3 million gaps related to HEDIS measures have been analyzed using the Reveleer Platform

  • Over 15% of gaps in care have been closed as numerator compliant 

  • Benefit from improved analytics and machine learning for better chart QA and Overread NLP capabilities

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Talk to an expert – schedule a call

MULTIPLE OPTIONS FOR GAP CLOSURE​

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FULL CONTROL​

Close gaps at your own pace. With our platform you can run your HEDIS® programs all on your own, or you can leverage Reveleer’s experts to help you

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TRANSPARENCY​

Our platform provides full reporting to track programs and keep you informed of all gaps closed and pending

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CHOICE

You have flexibility to perform Member-Centric review and provider outreach in our platform – or just one part of the process

                                                  

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