OK, we’ve actually done it in under 15 minutes. Generate the complete MRRV Response package for the auditors, that is. We used the second MRRV Wizard in MRCS (we discussed the first one last week) to accomplish this.

How It Works…

It takes a few seconds to select the numerators and exclusion categories previously used in the MRRV Prep Wizard (as determined by the auditor), which is done in the first step in the MRRV Package Wizard. In step 2, using the filter and search function, find and select the appropriate members the auditor requested to audit. Someone good at copying and pasting member names can complete this step in 1 – 2 minutes for each numerator and the exclusion category. So now, let’s say we are about 9 minutes in.

Next, is a review screen that shows all the selections made, checking this list takes a couple minutes. Once confirmed, clicking one button takes care of the rest. It triggers the system to generate one zip file with everything in it:

  • One zip file for each numerator and exclusions (6 zip files)
  • One PDF for each member within these zip files (typically 16 PDFs for each numerator/exclusion)

Those PDFs have everything in them. A cover sheet with all the member and measure information, date and time generated, user who generated the PDF and all relevant numerator (or exclusion) information on it. For each numerator value, a page reference to the appropriate chart and page number on that chart as a clickable hyperlink. 

The package automatically includes all the relevant charts (sometimes there are more than one) and each page has the chart (or Chase) ID as well as the page number on them, just to be sure.

It takes a few minutes to generate that package. One ZIP file, albeit a big one, ready to ship to the auditor, securely downloadable directly from the system. Done in 15 minutes.

So, if you take your time, double and triple check the selections and also consider the time to deliver the file to the auditor, you can be easily done in 60 minutes. Knowing that it’s complete, neat and clean.

About The Author

Reveleer is a healthcare-focused, technology-driven workflow, data, and analytics company that uses natural language processing (NLP) and artificial intelligence (AI) to empower health plans and risk-bearing providers with control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform allows plans to independently execute and manage every aspect of enrollment, provider outreach, data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services, so health plans can confidently plan and execute programs that deliver more value and improved outcomes. To learn more about Reveleer, please visit Reveleer.com.