Clear Vision Info Systems introduces New Tracking Capability to improve HEDIS and Star Scores for Treating Medicare and Medicaid Members

Wednesday, February 18, 2015

Clear Vision Information Systems announced today a new suite of services designed to assist Medicare Advantage health plans and physician groups with more accurately tracking and reporting on services rendered to the Medicare and Medicaid populations.

The enhanced services are part of RevMaxPro, one of healthcare’s most powerful and easy-to-use data-intelligence tools that help identify patients with chronic conditions, pinpoint gaps in care, and monitor the reporting of clinical data to the Centers for Medicare & Medicaid Services. In 2014 RevMaxPro received full certification from the National Committee for Quality Assurance, thus assuring users that the Clear Vision product meets current quality standards, improves the accuracy of reporting measures, and produces reliable and comparable results.

“Enhanced tracking and reporting of clinical performance has become vitally important as health plans and providers are increasingly being judged and compensated based on their success as measured by HEDIS and STARs,” said Tom Peterson, president and CEO of Clear Vision. “Our new product enhancements will serve not only the patients through identifying important gaps in care but will also serve the health plans and providers by making sure they are appropriately compensated for the services rendered and the quality they provide.”

HEDIS – the Healthcare Effectiveness Data and Information Set – is a tool used by more than 90 percent of America’s health plans to measure performance on important dimensions of care and service and thus allows for comparing one health plan’s performance against another. The STAR rating system grades all plans on a one- to five-star rating based on 40 or more quality metrics such as clinical outcomes, access to preventive service, managing chronic conditions, preventive care, and consumer satisfaction. CMS has begun paying plans based on the quality of care provided to their members – the higher the star rating, the more dollars plans receive from the government. Similarly, Medicare is altering its payment method to doctors and hospitals away from fee-for-service and toward a value-based model that rewards better outcomes.

The new reports provided through RevMaxPro include detailed pre-populated patient-specific forms indicating previously diagnosed conditions and missing HEDIS assessments; reports showing monthly progress against HEDIS measures; and HEDIS results segmented by health plan contract, provider group, and individual physician. Also available are reports that rank provider groups and/or individual physicians by number of gaps in care, largest to the fewest.

“All of these reports are designed to make tracking performance more streamlined, comprehensive, and easier to measure,” said Peterson. “With that goal in mind, all reports can be downloaded for additional analysis and data mining or saved to share with individual physicians.”

RevMaxPro is part of a suite of value-added services Clear Vision offers medical groups and health plans. Other portfolio products include: DxMax, a full-service hospital data collection software; SubmissionMax, a single-click diagnosis code identification and correction software that helps health plans easily manage and correct CMS-rejected diagnoses; and MDMax, a data-pursuit service that enables health plans to identify gaps in reported patient conditions by uncovering missing data at physician sites of service.

Clear Vision Information Systems provides Medicare Advantage risk adjustment solutions and strategies to health plans and providers nationwide. Leveraging decades of experience at the forefront of Medicare policy, Clear Vision’s portfolio of products and services – including risk adjustment analytics and easy-to-implement continuity-of-care strategies – helps clients maximize their revenue while improving quality of care.


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