LOS ANGELES--(BUSINESS WIRE)--Clear Vision Information Systems announced today that it has received National Committee for Quality Assurance (NCQA) certification for its HEDIS^® measurement software, RevMaxPro, to be used for patients on Medicaid. This comes on the heels of the August announcement that RevMaxPro received NCQA certification in all 20 clinical measures for patients on Medicare.

With the addition of this new certification, health plans, physician groups and ACOs can now turn to RevMaxPro for all Medicare and Medicaid patients, including the growing number of dual eligibles (those on both Medicare and Medicaid) in the country. Utilizing just one tool for all of these patients leads to greater efficiencies and consistency in reporting. The certifications validate that the product meets current quality standards, improves the accuracy of reporting measures, and produces reliable and comparable results.

RevMaxPro provides Medicare Advantage health plans and providers the necessary data – at their fingertips and when the patient is in the physician’s office – to isolate patients with chronic conditions that are missing assessments, pinpoint gaps in treatment, and monitor the reporting of clinical data to the Centers for Medicare & Medicaid. Such a view provides for efficiency and improved quality of care while also accurately aligning provider revenue with expected cost of care.

Widely recognized as one of healthcare’s most powerful and easy-to-use data-intelligence tools, RevMaxPro also provides users with detailed “report cards” tied to HEDIS and Stars performance, dashboards to support planning, and pre-populated patient forms to support physicians. In addition, RevMaxPro allows users to compare their performance with industry norms and establish benchmarks.

“The combination of closing gaps in care while also benchmarking against industry standards leads to the kind of ongoing quality improvement that benefits everyone,” says Tom Peterson, president and CEO of Clear Vision. “And by proactively looking at the key quality measures, RevMaxPro helps reduce costs associated with retrospective chart reviews. That saves money for health plans and contributes to greater overall efficiencies.”

NCQA is an independent, not-for-profit organization that accredits and certifies a wide range of healthcare organizations and manages the evolution of HEDIS, the performance measurement tool used by more than 90 percent of the nation’s health plans.

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 – help clients maximize their revenue while improving quality of care. For further information, visit www.cvinfosys.com.