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HEDIS Overread Feedback

Jessica Brouillette
Modified on: Fri, 17 Dec, 2021 at 4:54 PM

The Overread Feedback page displays all Chases that have Manager and Overread Feedback to be reviewed. You cannot request more work until all feedback has been reviewed and acknowledged.


TABLE OF CONTENTS

Review Overread Feedback - As Medical Record Reviewer (Abstractor)

  1. From Chases
  2. Click stat Overread Feedback
  3. To begin review process, click Review Feedback located at right of table
    • You will be presented with the Overread Feedback modal which displays each event that has feedback. The module can be freely moved around the page, as well as collapsible for easy viewing
  4. Click the “Show Original Data Entry” toggle to see what Abstractor entered vs Overreader
  5. Click each row to expand for more information
  6. Review what Abstractor entered
  7. Review what Overreader entered
  8. If you Agree with Overread, Click accept, and no further action will be required.
  9. If you Disagree with Overread, click Challenge
  10. If challenging, enter a reason and include a page number
  11. Click Submit Challenge
    • Repeat steps until all feedback has been reviewed
    • You will be prompted to Get Next if there is additional feedback for review





 

Note: 

You MUST review all feedback. 

 


Review Manager Overread Feedback - As Medical Record Reviewer (Abstractor)

  1. From Chases
  2. Click stat Overread Feedback
  3. To begin review process, click Acknowledge located at right of table
    • You will be presented with the Overread Feedback module which displays Manager Feedback for your challenges. The modal can be freely moved around the page, as well as collapsible for easy viewing.
  4. Click the “Show Original Data Entry” toggle to see what Abstractor entered vs the Overreader
  5. Click Review Challenge to see details
  6. Review Reason for Challenge
  7. Review Manager Feedback
  8. After reviewing, click Feedback Received 
    • You must review all Manager Feedback
    • You will be prompted to Get Next if there is additional feedback for review



 

Note: 

You MUST review all feedback. 

 

Please note, you cannot submit a new challenge. If you still have an issue, please contact your Manager directly.

 

Review Manager Overread Feedback - As Medical Record Reviewer (Abstractor)

  1. From Chases
  2. Click stat Overread Feedback
  3. To begin review process, click Acknowledge located at right of table
    • You will be presented with the Overread Feedback module which displays Manager Feedback for your challenges. The modal can be freely moved around the page, as well as collapsible for easy viewing.
  4. Click the “Show Original Data Entry” toggle to see what Abstractor entered vs the Overreader
  5. Click Review Challenge to see details
  6. Review Reason for Challenge
  7. Review Manager Feedback
  8. After reviewing, click Feedback Received 
    • You must review all Manager Feedback
    • You will be prompted to Get Next if there is additional feedback for review

Table Description automatically generated


Table Description automatically generated


 

Note: 

You MUST review all feedback. 

 

Please note, you cannot submit a new challenge. If you still have an issue, please contact your Manager directly.

 


Review Overread Challenges – As Manager

  1. From Overread
  2. Click stat Feedback Challenges
  3. To begin review process, click Review Challenge located at right of table
    • You will be presented with the Overread Feedback module which displays Medical Record Reviewer challenges. The module can be freely moved around the page, as well as collapsible for easy viewing.
  4. Click the Show Original Data Entry toggle to see what Abstractor entered vs the Overreader
  5. Click Review Challenge to see details
  6. Review what Abstractor Entered
  7. Review what Overreader Entered
  8. Review Reason for Challenge
  9. To reconcile, click Select Next Action
  10. If you Agree with Medical Record Reviewer, select Agree with Abstractor
  11. Provider feedback for Abstractor and Overreader 
  12. Click Submit Feedback
  13. If you Agree with Overreader, select Agree with Overreader
  14. Provider feedback for Abstractor and Overreader 
  15. Click Submit Feedback
    • Repeat steps until all Challenges have been reviewed





 

Note: 

You MUST review all challenges 

 

User Permissions
 Administrator

Lead: Clinical Lead

Manager: Medical Record Review Manager, Overread Manager, Client Overread Manager

Employee: Abstractor Employee, Overread Employee

 

 


 

 



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