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Product Release Notes 08.17.2022

Clinical 

UPDATE: Overread Feedback – Manager Feedback 

Increased character limit from 280 to 1000 for managers to provide additional feedback.  

 

UPDATE: Overread Feedback – Exempt Rule Update 

If Overread feedback has been reviewed by coder and chart was moved back to exempt, we will not send Overread feedback a second time. 

 

HEDIS 

NEW: NID Nephropathy in Diabetes 

The new measure of CDC is available for abstraction 

 

UPDATE: EVE for Quality Overread – BPD, EED & HBD 

The EVE is validating the three new measures of CDC (BPD, EED & HBD) when the chart goes through Overread.  

 

UPDATE: EVE for Quality Overread – Demographic Information 

The Member’s Demographic information (Race & Ethnicity) is not validated by EVE when the chart goes through Overread. 

 

UPDATE: Member Centric – Measure buttons 

When the User is reviewing a chart for member centric project and the member has more than one measure, the chart will not reset to Page#1 if the User is on Page#10 and switches from the one measure to another measure. 

 

IVA 
NEW:New RXCM required field - Date of Service 
A new required field Date of service (from the RADVMCE audit file) encompassing Service From Date and Service To Date has been added to Data Entry screen. 

 

Claim Processed Date has been hidden from Data Entry screen. 

 

Chart Lake 

UPDATE: Copy Chart 

From Chart Lake or the Member File View, users can now copy charts over to chases that are in Dataload (Inactive) status. Once attached, that chase will move directly to Data Entry.  

 

Analytics 
NEW: EDGE HCC Performance Summary 
This report provides program managers with a high-level summary view of how the IVA audit is progressing based on the original EDGE sample. 

 

 

NEW:IVA Filter Option 
"IVA Measure" Filter has been added to a variety of IVA Reports to allow clients to filter results down to specific measures for the upcoming BY2021 season. 

 

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