Gap Closure
https://www.reveleer.com/services-solutions/hedis-nlp-technology/gap-closure
Reveleer now has the ability to support Gap Closure projects for HEDIS prospective. This will allow our users and clients to perform outreach focused on identified gaps (non-compliant numerators) that remain open after both abstraction and overread have been completed.
GAP Project Creation
Users can create HEDIS-Gap projects by setting 'PROJECT RETRIEVAL TYPE' = Gap. Once a Gap project is saved and configured users will be exposed to a whole host of Gap settings and functionality.
Gap Outreach Cover Letter Template
Users can create a Gap specific template to be used when performing Gap Outreach.
Adding a Gap Column to the Member Pull List
Gap Retrieval (Adding Gap elements to the AID details Page)
We consolidated outreach actions within the AID chase grids and created a dedicated tab for Gap-Chases:
Gap Info added to Chase Tabs
Users can now view gap specific details and information in a variety of places across chase tabs:
CHASE INFO
MEMBER GAPS
Complete with Gaps, Gap Attributes, Gap Status and Gap Compliance.
Gap Query
Dedicated query displaying Gap chases which includes Gap specific columns and filters.
Data Load Improvements
In our continued effort to make the Data Load process as easily and self-sufficient as possible, we added the following improvements:
- New upload instructions
- Access to data load mapping documents
- Access to the upload summary
- Error outputs in Excel
- User friendly error reporting
Retrieval - Display Stats within the AID Details Page
Users will now see a dedicated row of chase/pursuits stats as they relate to the content of the AID in context:
- Total Chase Count:
- Total Open Chase Count:
- Total Open Gap Pursuits
Retrieval - Dedicated Outreach option for Mail
Reveleer retrieval users now have an option to send a Mail request that can count against Contact History. Users will be able to print out a provider package and send it via standard mail.
Project Settings - Helpful Info Tooltips
We added some really helpful tooltips throughout the project settings module. Each tooltip contains a great explanation of what the setting applies to and how it affects your project. Tooltips can be accessed by hovering over the circular question mark icon appearing along side a configuration.
Auto-Close
Overread Feedback
Gap Pursuits
Document Request Guide for Member Gaps
Provider Packet Updates
Added Member ID on the Member Pull List
Review period dates in the future now read "to current"
Provider Packets appear with user's true first and last name
Flexible/dynamic display of user phone numbers
We now dynamically display the phone number of the user who initiates the creation of the provider package used for outreach.