TABLE OF CONTENTS
Clinical Pursuits
There are different types of pursuits. A Pursuit takes place during Medical Record abstraction. An abstractor will create a new chase, called a Pursuit when something from the chart is missing such as a date of service or measure.
Retrieval – Pursuits are for a DOS, missing member information
Clinical – Pursuits are for DOS, signature attestation, DOB/gender if missing for medical record
Terminology
Pursuit – Noted missing information, launched to initiate the search
Parent Chase – Original chase that has inadequate information
Child Chase – Chase created from pursuit launch, associated with Parent chase
For Risk Adjustment – Reveleer does not collect attestations, VRC 51 (Provider Signature Deficiency) is appended to the Claims Risk Line(s) when provider signature requirements have not been met.
A pursuit can be launched at different stages in the Reveleer workflow. Each pursuit generates a new unique Reveleer Chase ID # that is associated with the original Chase ID. Pursuits require Customer approval via the Approval Center.
Suggested Clinical Pursuit Workflow
(Right click to open in new browser window)
Clinical Overread
1. Overread Feedback
2. DECISION: Additional Information Needed?
3. Available for Download
Pursuit Approval
4. DECISION: Approval
5. Archive
Retrieval
6. Chart Retrieval for Collection
Pursuit vs. Parent Chase
A Pursuit chase is evident because there will be a (P) next to the chase. When you hover over the Pursuit chase, the Original “Parent” Chase will appear.
Click on the Parent Chase > Chase Info to view the exact documentation being requested.
Parent Chases will have displayed as 12345678 (n) where n represents the number of pursuits for that chase.