AI Chart Review
Now you can accelerate the chart abstraction process and achieve performance improvements simultaneously across quality and risk adjustment, reducing inefficiencies while improving accuracy, compliance, and financial outcomes.
Curate is Novillus’ next generation AI-powered chart review solution for health plan Quality and Risk teams, transforming the chart review workflow.
The solution combines HIPAA-compliant artificial intelligence with Novillus’ extensive healthcare expertise in harnessing AI for improved Quality and Risk outcomes.
Key Benefits
- Unifies 1st level chart review for Quality and Risk into a single automated workflow, enabling plans to close multiple gap types in one seamless review process
- Doubles chart review capacity for validators
- 95% average accuracy or higher on identifying gap closure evidence in charts
- 77% reduction in unnecessary chart reviews wasting validator time because the charts did not contain gap closure evidence for any member gap
Unlike traditional solutions, Curate works across both quality and risk gaps, identifying evidence for multiple gap types in a single processing run. For example, if a chart contains clinical evidence substantiating the closure of multiple care gaps for a member, Curate will create reviewable submissions for each of the member’s gaps in one processing run.
By unifying quality and risk gap abstraction into a single-pass workflow, now it’s possible to:
- Eliminate redundant, separate chart reviews by risk and then quality teams
- Expand validator capacity without increasing headcount
- Scale operations while maintaining data integrity and compliance
Curate also easily handles exclusions. For example, if a patient has had a bilateral mastectomy, Curate will understand the member should be excluded from the denominator of the Breast Cancer Screening measure.
Contact us for a live demonstration of Curate.