Care Gap Management
Our Care Gap Management Application (CGMA) is a unique blend of technology and provider engagement expertise that will help you manage the Quality and Risk care gap lifecycle and improve the program performance for all your lines of business, including Medicare and Star ratings, Medicaid, Commercial, ACA and more. Get the supplemental data missing from claims that is needed to close gaps – and do it without provider abrasion. And we’ll create operational efficiencies that let you do more with less to unlock the full potential of your team – and give them their nights and weekends back, too.
Key Benefits:
- 4+ Medicare Star ratings
- Improved Medicaid performance with rapidly configurable gaps to meet state-specific gap rules
- Increased engagement with all provider group types (IPAs, independent, etc.)
- Improved provider group satisfaction measured with our integrated survey solution that uses pre-built survey templates with industry standard metrics (CSAT) powering continuous improvement
Key Features:
Actionable gap display- Provider groups see a list of all patient care gaps, in a simple, effective user experience that guides their next actions to submit supplemental data needed to close gaps to your validation team to review in real time. Validators use template responses to return non-compliant submissions back to the submitter in a real time workflow. The benefits: time savings versus “phone tag”, etc. and our time-tested template responses will help shape improved future submission behavior.
Performance & Incentive Dashboard- Displays gap closure progress and – with one click – lets provider group users take gap closure actions. The benefits: our integrated experience increases supplemental evidence submissions up to 40% over fragmented alternatives.
Audit support- that lets your clinical coding staff quickly and accurately provide answers to auditor questions about supplemental data that has passed through the Novillus solution. The benefits: reduced stress and time producing evidence.
Targeted outreach to provider group contacts lets them know where they stand with gap closure progress and incentive earnings – all managed by Novillus on your behalf, using our unique, purpose-built multichannel CRM. The benefits: drive results without provider abrasion.
Execute satisfaction surveys in a snap with pre-built templates integrated into the provider group experience. The benefits: gain valuable feedback easily to power continuous program improvement.
Engagement dashboards and reports show you provider group activities across multiple channel touch points summarized with KPIs. Drill-down capabilities let you go deep to see what groups and users at those groups are doing (or aren’t). The benefits: decision support information to continually optimize your programs and focus your team’s limited time where it can have the most impact.