Reveleer

Reveleer is an AI-powered platform designed to enable value-based care for health plans and providers. It unifies workflows for risk adjustment, quality improvement, and member management into a single system, leveraging advanced automation and clinical intelligence to improve patient outcomes, streamline operations, and ensure compliance.

Features

• AI-Powered Platform: Automates manual tasks like medical record retrieval, coding, and abstraction.
• Evidence Validation Engine (EVE™): Proprietary AI assistant that accelerates coding workflows and validates supporting evidence.
• Data Integration: Handles structured and unstructured data from multiple sources, including HIEs and EHRs.
• End-to-End Workflow: Covers enrollment, provider outreach, data management, reporting, and CMS-ready submissions.
• Clinical Intelligence: Surfaces diagnosis gaps and care opportunities pre-encounter within provider workflows.
• Member Management: Centralized data for holistic member views and efficient enrollment processes.
• Compliance & Security: Built to meet HIPAA and HITRUST CSF standards for data protection.

Capabilities

• Risk Adjustment: AI-driven identification of undiagnosed conditions and accurate capture of risk factors.
• Quality Improvement: Detect care gaps, improve STAR ratings, and enhance patient care measures.
• Data Analytics: Predictive insights for high-risk member identification and targeted interventions.
• Workflow Automation: Expedites chart retrieval, coding, and submission processes to reduce administrative burden.
• Population Health Management: Provides longitudinal patient views for proactive care planning.
• Regulatory Adaptability: Aligns with evolving CMS rules and HCC model changes for compliance.

Benefits

• Improved Patient Outcomes: Enables proactive care and closes gaps in diagnosis and treatment.
• Operational Efficiency: Reduces manual work, accelerates program launches, and optimizes resource allocation.
• Accuracy & Compliance: Ensures precise risk scoring and reimbursement through AI-powered validation.
• Scalability: Handles large volumes of data and adapts to future value-based care requirements.
• Enhanced Provider Experience: Integrates seamlessly into existing workflows without disruption.
• Cost Savings: Minimizes errors and administrative overhead, improving financial performance.