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Product Release Notes 06-22-2022

Admin Settings

UPDATE: Project Setting Removed

Under Projects > Data Extract > Setting for “Data Extract Transfer: Enable FTP" has been removed.


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UPDATE: Project Setting Removed

Under Projects > Project Settings > Setting for “Annotations" has been removed. The highlight tool will be available in the Reveleer Platform at all times. 


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UPDATE: Unsaved Project Settings

Users will now be prompted if they have any unsaved changes when attempting to leave the page.


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Document Intake

NEW: Prevent Duplicate Invoices

When a Document is Routed thru Intake, we have a new validation that identifies if an invoice already exists for that chase.

 

NEW: Search Confirmation # and AID

Users can query documents in intake using the Provider Gateway Confirmation Number as well as AID. The AID and Confirmation # will also appear as new columns on the Document Intake table. 

 

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NEW: New Page - Processing

New tab for Document Intake called Processing. These are all the documents that have been ingested into the Reveleer Platform but are currently being processed. Users can query documents in Processing by using the Provider Gateway Confirmation Number as well as AID.

 

Please Note: You will not be able to view the documents until processing has completed.  


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HEDIS

UPDATE: Admin Refresh

Admin Refresh Scoring now includes Compliance Flags.

 

UPDATE: First Pass for Quality Improvement

Field name update: ‘Page #’ will now display as ‘Evidence Page #’.


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UPDATE: Measure Updates – HBD, EED, BPD

New Contra value for measures: HBD, EED, and BPD. 

Contras (Available if the numerator is compliant or non-compliant) 

Member expired during MY

 

UPDATE: Measure Updates – COL, CBP, PPC

Two new Require Demographic fields: Race & Ethnicity have been added for Measures COL, CBP, and PPC

 

Race

White  

Black or African American  

American Indian & Alaska Native

Asian  

Native Hawaiian & Other Pacific Islander  

Some Other Races  

Two or More Races  

Asked But No Answer  

Unknown  

Ethnicity 

Hispanic/Latino  

Not Hispanic/Latino  

Asked But No Answer  

Unknown  

 

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UPDATE: Measure Updates – IMA

1. Added new field:  Vaccine Type for all three Vaccines

2. Based upon the type of Vaccine, Compliance Rules have been changed

 

 

3. Three values from Contra drop down have been removed related to Anaphylaxis and Encephalopathy

 

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Risk/IVA

NEW: HCC Health Card

The HCC Health Card is an accumulation of all member chases combined within the Project for viewing which HCCs have or have not been substantiated from your claim load file. You can also see any Net New HCC Diagnosis that were not provided on claims. Expand each row to view Diagnosis information.

 

The follow HCC models are supported and will only show ICDs that are relevant to each HCC model:

  • HCC Model for Medicare Advantage
  • HCC Model for Commercial

 

The HCC will display the following statuses:

  1. Open: The diagnosis is part of a chase but has not been reviewed yet
  2. Substantiated: At least 1 diagnosis has been validated for that HCC
  3. Unsubstantiated: The diagnosis could not be validated for that HCC

 

 

UPDATE: DOS Pull List

When a request for IVA chases is printed or sent to a provider, it will now contain a list of all dates of service and ICD codes that are requested for the given Chase. Each chase will have its own DOS pull list generated which will be located after the instruction sheet and member pull list in the provider packet.

Audit Query

UPDATE: Non-Compliant Chase removal

If a chase becomes Non-Compliant in Overread while creating an Audit Package, it will be removed from Audit Query grid as well as from Audit Packet. The user will receive a warning when it is being removed. If the chase becomes “Compliant” again after manager’s review, it will reappear on the “Audit Query” grid to be included in “Audit Packet”.

Please Note: 

  1. The job will run every hour to remove non-compliant chases.
  2. Audit Packages that have already been generated will not be affected.

 

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Bulk Actions

UPDATE: Bulk Change Improvements

Most Bulk Changes were requiring users to click ‘Continue’ to see additional input fields. We have removed the ‘Continue’ button to eliminate the extra click.

 

Chart Lake

UPDATE: Multi-Select Matches

When reviewing your Chart Lake Matches, you can add multiple charts to your chases and move them directly to Data Entry.

 

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