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MEDICAL RECORD REVIEW SOFTWARE

Converged Record Review

Empower your medical record reviewers to work faster, smarter, and ensure your plan is reimbursed accurately.

Medical Record Review Software Simplified

Medical record review (MRR) teams often juggle competing priorities and inefficient systems, which increases the risk of inaccurate diagnosis coding. Inovalon’s Converged Record Review™ smooths out the process by using AI to help your team achieve stronger results and stay ahead of regulatory demands.

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Improve HCC Capture

Save time on each medical record review with improved hierarchical condition category (HCC) capture, which highlights conditions requiring extra attention.

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Better Project Management

Gain clear visibility into reviewer productivity and streamline project assignment.

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Decrease Regulatory Audit Risk

Minimize false positives using Converged Record Review’s natural language processing (NLP) to reduce the risk of non-compliance.

Benefits

Reduce false positive diagnoses and increased efficiency in medical record review, without compromising accuracy. This AI-powered solution interprets medical text in records for you, so you can work faster and more efficiently.

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Gain Differentiated Value

Avoid traditional pitfalls with NLP that highlights high-value coding opportunities.

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Improved Decision-Making

See NLP highlights turned into risk-adjustable findings that can be used for submissions, in real time.

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Reduce Manual Workload

Lower false positive rates and cut down on expensive, time-consuming manual chart reviews.

HOW IT WORKS

Enhancing Risk Adjustment Performance With an All-in-One Solution

A substantial portion of health plans’ medical record reviews produce no clinical documentation value. These unnecessary manual reviews are costly, diverting resources from high-value records that can significantly impact risk adjustment outcomes.

That’s why coders need medical record review software that eliminates low-value reviews and focuses efforts where they matter most. With Converged Record Review, your teams can:

Quickly identify medical records likely to have valid documentation
Reduce effort on low-impact records with little to no documentation value
Export results in bulk with highlights and abstracted codes

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TESTIMONIALS

Solutions Tailored for Your Business Needs

Discover what real-life users say distinguishes Inovlaon’s technology from the rest.

“

Inovalon’s always looking forward, and you can just tell the amount of research and development they put into their products. It’s a differentiator. You can see by the quality of the products that it's well thought out.
Gabe MedleyVice President of Risk Adjustment, Quality, and Analytics, Blue Cross Blue Shield Michigan

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