With its launch of the AI-powered Verisma Retrieval IQ platform, Verisma – the trusted leader in health information lifecycle management – delivers an intelligent platform that learns from every completed medical record retrieval, while automating intake and QA end-to-end. This means health plans get the right records with greater speed, accuracy, and visibility.
“Medical record retrieval has never worked the way it should,” says Jeannie Hennum, General Manager of Value-Based Care at Verisma. “Health plans have struggled to get the right records quickly for their risk adjustment, RADV, quality, HEDIS, Stars, and care-gap closure programs. Teams are forced to wait weeks to learn that a chase failed, with absolutely no visibility into what went wrong. Worse, they are left with no way to course-correct or shift workloads in time to protect yield.”
Verisma Retrieval IQ – already deployed with two of the top 10 U.S. health plans – gives health plans a dashboard for immediate visibility into yield, cycle time, exceptions, and cost-per-retrieval across every active program. “Health plans are equipped to act on what is happening now, rather than react to what went wrong weeks ago,” Hennum notes.
Benefits are compounded because Verisma has established a trusted partnership with thousands of providers, who also leverage the Verisma Retrieval IQ platform. These proven relationships alter the outreach experience fundamentally: providers respond more quickly, reducing abrasion and improving yield. Dedicated teams and platforms ensure complete separation between retrieval and release of information, with no co-mingling of data or workflows.
“Verisma cares about patients, members, and whole-person health,” says Keelie Steffen, Senior Manager of QI, Risk Adjustment, and HEDIS at Verda Healthcare, with Medicare Advantage plans in Texas and Arizona. “They’ve helped us grow, and we’re honored to collaborate with a partner dedicated to the proposition that healthcare should be accessible and equitable to everyone.”
Three integrated layers of AI working together enable Verisma Retrieval IQ to deliver results no single-tier platform can:
- Better yield over time, because Verisma’s unique proprietary database learns from every retrieval – updating the model and sharpening outreach with provider preferences and historical patterns.
- Unmatched accuracy because every record is automatically classified, patient-matched, and routed with Verisma’s AI-powered intake and QA. Experienced professionals validate every chart before delivery.
- Wide-reaching connectivity with an extensive network of providers, leveraging Verisma’s Universal Connector™ which integrates with systems beyond FHIR-certified EHRs.
For more information about the Verisma Retrieval IQ platform, visit https://verisma.com/retrieval-iq-launch/.
About Verisma
Verisma, trusted by 20,000 client sites across all 50 states, is redefining how healthcare organizations manage and use health data, ensuring it’s trusted, secure, and actionable for real-time, high-stakes decision making. Our lifecycle-driven approach prioritizes health data integrity, management, exchange, and usage with a strong focus on protecting sensitive data from misuse. With Verisma’s intelligent Archiving, Care Coordination, Release of Information, and Value-Based Care solution suite, data is more than just information. It’s a foundation for progress. For more information, please visit www.verisma.com and join our team!
The information, visuals and statements contained in this material are provided for general informational and promotional purposes only. They don’t constitute legal, financial or professional advice. While every effort has been made to ensure accuracy at the time of publication, Verisma Systems, Inc. makes no warranties or representations regarding completeness, reliability or suitability for any particular purpose. Any reliance you place on this material is strictly at your own risk.
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