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.
Learn More: https://reveleer.freshdesk.com/support/solutions/articles/48001218867-edge-hcc-performance-summary
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.