IVA Settings

Julie Glass

Modified on: Wed, 20 Jul, 2022 at 5:07 PM

Here is where you define your review period and overread settings for your IVA project.

TABLE OF CONTENTS

IVA Settings Page Overview
IVA Settings – Upload Mapping Document
IVA Settings – View Mapping Document
IVA Settings – Delete Mapping Document

IVA Settings Page Overview

HIOS ID: Open field for HIOS
Review Period: This is the review period of your project. Cannot be edited.
Document Review Level:
1. If a project is configured to ‘Member Validation’ for the document review level, a user will be prompted to verify that the member is correct.
2. If a project is configured to ‘Member and DOS Validation’ for the document review level, users will be asked to perform a more thorough review of the document once the member has been validated. For each date of service that was loaded for a given chase, the user will be asked to select either ‘Yes’ or ‘No’ to indicate whether that specific date of service is present. If the DOS is present, they will also be prompted to indicate whether the provider signature for that date of service is present.
HCC Model, cannot be edited.
Omission Codes: Toggle to enable the allowance of omission codes to be added during review.
Overread Feedback: Displays all Chases that have Coder, Overreader and Manager to review Overread Feedback and Feedback Challenges.
Overread Settings –Define deficient and non-deficient Overread percentages for DOB/GEN, ENR, HST, RXCM, and RXCP
Overread 2 Settings – Define deficient and non-deficient Overread 2 percentages for DOB/GEN, ENR, HST, RXCM, and RXCP
Mapping Documents: Upload Mapping Documents to be attached during IVA Packaging.

Note:
* If deficient chase values are set to anything less than 100%, some pursuits will not get generated and there is a chance invalid chases will be submitted to delivery.

All IVA projects are Diagnosis Only: Diagnosis codes do not map to an HCC