Health Data Vision, Inc. (HDVI) released several new features as part of Medical Record Collection System (MRCS) 4.27.7, including enhancements for abstraction screens and improvements in workflows for Provider outreach, incremental data handling, and Operations for IVA's (Initial Validation Audits). 

MRCS 4.27.7 Upgrades

  • Client Chase-Pursuit Approval Center - After the initial data load into MRCS, member 'chases' (primary pursuits) are scrubbed and organized by site and Provider location. Providers receive a single, consolidated request for all patients by project (HEDIS and/or Risk Adjustment) rather than receive multiple, uncoordinated requests. Additionally, charts are evaluated for completeness, legibility, correct member, and correct medical record retrieval timelines. If we find that components are missing or located in an alternate facility, or chart quality requires re-submission, a 'secondary pursuit' is generated to obtain the missing information. In MRCS 4.27.7, clients now have ability to approve primary and secondary pursuits before they are started by HDVI. This allows the client to have ultimate flexibility in managing their project and budget.
To Access - Client administrators with Project Manager permissions can go to Management Portal > Client Approval Center > Pursuits to review the Validation Reason Codes (VRCs) flagged by the Reviewer, which codify reasons why the documentation does not meet coding guidelines or the encounter has not been authenticated in accordance with CMS’ requirements. 
 

Approve or Cancel Chase-Pursuits - Client administrators then approve or cancel a pursuit, as well as, can bulk-approve or bulk-cancel all listed pursuits. An approved pursuit will be sent to your or our Provider Outreach team for follow-up, depending on if MRCS is licensed for your in-house staff to use or if HDVI is managing the project. A canceled pursuit will generate a Certificate of No Record (CNR) code to describe the reason for non-recovery; in this case 'Denied Pursuit Generation' or 'CNR-23.' 

  • Incremental Data Loading - Previously, customers that wished to add additional chases to a preexisting project would be forced to create a new project to put them under. Now customers can contact their HDVI Customer Success Manager who can help import incremental chases into the same project, thus keeping them together for easier chase population reporting.
  • Incremental Data Downloading at the User Level - Previously, customers that downloaded incremental data files would have that file availability shared with other users in the project. Now customers can download incremental data and it is unique to them; there is no comingling of activity.
  • Improved Field Tech Assignments - HDVI made improvements in the handling and support of large numbers of address assignments across different Provider locations. Client administrators will notice increased speed during the load and assignment process for their in-house Field Technicians.
HDVI's Field Tech User Interface, Secure Medical Record Capture (SMRC)

“Over the last few months, my focus has been on gathering direct customer, market and operations feedback,” remarked Kevin Owens, VP of Product for HDVI. "This has resulted in a defined roadmap for the next nine months. We are confident that our development path will drive greater self-sufficiency and enhanced performance for our customers.”

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About The Author

Health Data Vision, Inc. (HDVI) is a healthcare software company that is disrupting the medical record retrieval and review (MRR) industry. We provide Medicare Advantage, Medicaid and Commercial ACA health plans with an enterprise-grade, Software-as-a-Service (SaaS) platform for Risk Adjustment, Quality Improvement, and Audit initiatives.