Reveleer Platform
Thursday, April 18, 2024
Hold on to your sides – the April 2024 release of the Reveleer Platform is so packed with incredible features it could be mistaken for an April Fools' Day prank. But this month’s updates are no laughing matter, with genuine enhancements designed to make your platform experience smoother, more efficient, and maybe even a bit more fun.
Member Management
New! Streamlined OEV with Auto-Selected Due Dates
Reveleer is excited to announce a new feature that simplifies Outbound Enrollment Verification (OEV) for Medicare Advantage (MA) plans. Now, the system will automatically select the latest allowable due date for OEVs, based on CMS guidelines. CMS states that the verification due date should be set to the latest of three options - the last day of the month in which the enrollment was submitted, seven days from the date of an OEV letter or call, or December 31st of the enrollment period year for Annual Enrollment Period (AEP) submissions. Adhere to CMS guidance for setting OEV due dates with the maximum allowable time for verifying enrollment details and ensure beneficiaries are enrolled in the right MA plan for their needs.
New! Introducing Automatic DOB Population MEA Validation
The Voyager platform will now automatically populate the Date of Birth (DOB) field for short-form PBP (Plan Benefit Package) submissions for existing members during MEA Validation. This enhancement saves time and ensures accuracy by eliminating manual search and entry of DOBs for members already on file in Voyager.
Update! 3 Major Upgrades to Correspondence on Voyager Platform
Reveleer is pleased to announce three significant enhancements to Correspondence on the Voyager platform. The first update this month delivers a unified experience for V2 and V3 customers. V2 and V3 Correspondence will now be released simultaneously, so that V2 users can take advantage of exciting new capabilities as soon as they become available.
The Correspondence Editor and PDF Generator tool have also been upgraded to the latest and greatest versions. Correspondence templates can now be created, edited, and revised using TinyMCE 6 - the most recent version of the Correspondence Editor. The PDF Generator tool has also been upgraded to the latest PD4ML version, which features many bug fixes and enhancements for increased accuracy when generating PDFs from the Correspondence Editor. TinyMCE 5 and subsequent PD4ML versions of the PDF Generator tool will no longer be supported as of April 18th.
HCC Analytics
Update! Voyager Platform 2024 Q2 HCPCS Code Configurations
The Voyager platform has been updated with the latest CMS 2024 Q2 CPT/HCPCS codes with October 1st start dates for Medicare LOB. The quarterly HCPCS data set updates ensure medical procedure, service and equipment claims are properly identified for seamless and accurate Encounter Data Processing Systems (EDPS) submissions.
Update! Voyager 2024 Q1 Medicare Risk Adjustment Eligible CPT/HCPCS Code Updates
Voyager platform data sets have been configured according to 2024 Q1 risk-adjustable CPT/HCPCS code updates released by CMS. This update aligns Voyager risk score calculations with the latest risk adjustment allowable CPT/HCPC codes published by CMS. Ensure fair and accurate reimbursement for care provided to Medicare Advantage beneficiaries.
Update! Voyager Diagnostic Crosswalk Configured with 2024 Midyear/Final ICD-10 Updates
Voyager has updated the diagnostic crosswalk for all CMS models according to 2024 Midyear/Final ICD-10 updates. The updated system configurations synchronize ICD-10 diagnosis codes for Medicare Advantage beneficiaries with the appropriate CMS-HCC, ESRD and RxHCC risk adjustment categories. Achieve accurate risk score calculations while adhering to CMS regulations when reconciling risk-adjusted revenue.
Analytics
Update! “Pend Report” Enhancements for Swift Pend Resolution
Two vital data points have been added to the “Pend Report” to optimize pend resolution planning and better inform training initiatives. The report now includes ‘Pend Severity’ allowing you to prioritize pend resolution based on urgency and potential impact. ‘User Email Address’ has also been added alongside ‘Username’ so that you can more easily identify and contact the responsible coder for each pend, leading to faster resolution.
Update! “Clinical Productivity and Accuracy - Overall” Report Enhancements
The “Clinical Productivity and Accuracy - Overall” report has been significantly enhanced to empower clinical managers with a more comprehensive picture of coder productivity. 'Admin Encounters’ and 'Coder Encounters’ are now included in the report so that clinical managers can monitor encounters added manually by each coder in addition to total chases and total DOS worked on by each coder. A new 'Email’ filter has also been added for improved clarity and communication when monitoring and managing individual coder productivity and accuracy. In addition to the new coder level details, the report also now includes a project view of all coder activity for a specific project. These high-level insights facilitate optimized resource allocation and workflow management within each project.
Update! “Chase Status Underlying” Report Now Offers Effortless Mismatch Detection
The “Chase Status Underlying” report has been enhanced with two new data points designed for effortless mismatch detection. The report now includes both the chase-list-origin image name and attached chart image name to enable easy identification of mismatched charts. Cross reference original document identifiers with chart attachments for swift discovery and correction of mismatched charts.
Miscellaneous
Various performance and stability enhancements