Retrieval, Abstraction & Audit Readiness —
Executed as a Service
Podero Health helps healthcare organizations retrieve, abstract, validate, and operationalize clinical evidence that is usable, traceable, and audit-ready.
PromedyRecs powers Podero's retrieval, abstraction, evidence validation, and audit readiness workflows.
End-to-End Execution Pipeline
Operational Execution — Across Our Core Service Lines
Podero Health helps healthcare organizations retrieve, abstract, validate, and operationalize clinical evidence that is usable, traceable, and audit-ready.
Service 01
Chart Retrieval Services
Podero supports retrieval execution across provider outreach, centralized records departments, portal workflows, fax retrieval, EMR access, mail, and onsite pathways when applicable.
Problem
Provider records are delayed, misrouted, or stuck across fax, portal, centralized records, and manual outreach channels.
What Podero Does
Supports retrieval execution, provider follow-up, status tracking, routing intelligence, and escalation workflows.
What You Receive
Retrieved records, status visibility, provider-level insights, and retrieval performance reporting.
Where It Fits
Sits at the front of the chase — feeding retrieved records into abstraction and validation.
Suggested Pilot Use Case
Target hard-to-retrieve providers or overflow chart chase volume for 30–90 days.
Service 02
Medical Record Abstraction Services
AI-assisted and human-validated abstraction workflows designed to identify compliant, non-compliant, exclusion, and negative reason evidence.
Problem
Abstraction backlogs build during peak season, and findings move downstream without consistent audit-readiness checks.
What Podero Does
Supports prospective and retrospective abstraction with AI-assisted detection, human validation, and overread.
What You Receive
Measure-aligned abstraction findings, QA visibility, and page-level source traceability.
Where It Fits
Turns retrieved charts and digital evidence into structured, defensible measure-level findings.
Suggested Pilot Use Case
Add overflow abstraction capacity for 2–3 measures when internal teams or vendors are behind.
Service 03
CCD / Digital Evidence Processing
Digital evidence is not automatically submission-ready. Podero helps extract, map, validate, and prepare CCD-derived evidence for quality operations and supplemental workflows.
Problem
CCD and digital data arrives in volume but is treated as raw data — not traceable, measure-aligned evidence.
What Podero Does
Extracts, maps, validates, and prepares digital clinical evidence for supplemental use.
What You Receive
Mapped supplemental outputs, value-set alignment, and traceability back to source evidence.
Where It Fits
Sits alongside data exchange and aggregator feeds — converting digital data into usable evidence.
Suggested Pilot Use Case
Process CCD-derived evidence for a defined measure set and validate it for supplemental use.
Service 04
Audit Readiness Validation
Evidence validation before submission, designed to reduce audit risk, rework, and failed supplemental evidence.
Problem
Plans often discover missing source, member, provider, date, or measure logic issues during audit — when it is too late.
What Podero Does
Validates evidence before submission, flagging audit risk, missing documentation, and traceability gaps.
What You Receive
Audit-risk flags, submission-readiness reporting, and a clear view of what needs rework before filing.
Where It Fits
Sits at the end of the workflow — the final check before evidence moves to submission.
Suggested Pilot Use Case
Run audit-readiness validation across a sample population before MY2026 submission.
Provider Retrieval Intelligence That Gets Smarter Over Time
Most retrieval workflows relearn the same provider information every project. Podero captures retrieval intelligence so future requests are routed smarter — it is designed to learn from retrieval activity, not to guarantee outcomes.
Centralized Records Departments
Track which provider groups route requests through centralized medical records departments instead of satellite offices.
Preferred Retrieval Channels
Capture whether records are most successfully retrieved through portal, fax, EMR access, email, mail, or onsite pathways.
Provider Location Intelligence
Identify which location actually fulfills medical record requests when providers practice across multiple sites.
PromedyRecs powers Podero's retrieval, abstraction, evidence validation, and audit readiness workflows.
WHY THE APPROACH MATTERS
Why Prospective-First Changes Everything
Traditional HEDIS® platforms were built around retrospective seasonal abstraction, then added prospective collection as a feature. Podero was built the other way around.
"Both models close gaps. One does it as a fire drill. The other does it as a discipline."
Podero Fixes Execution
Across 3 Critical Layers
Each layer is tightly connected — eliminating redundancy, accelerating workflows, and ensuring every action drives measurable outcomes.
Digital-led retrieval before outreach begins.
Evidence Acquisition
Retrieve and validate clinical data from aggregators and CCD sources — suppressing outreach before it is ever needed.
AI-assisted, clinician-validated review.
Clinical Abstraction
Surface and validate clinical evidence with AI-assisted extraction and licensed clinician sign-off — embedded directly in the workflow.
Real-time structured deliverables.
Audit-Ready Outputs
Generate audit-ready outputs with full traceability as findings are validated — not assembled retroactively.
Eliminate Unnecessary Provider Outreach with Digital-Led Retrieval
Podero retrieves and validates clinical data before outreach begins — reducing cost, accelerating access to evidence, and limiting provider abrasion.
What Happens
Digital-led retrieval from data aggregators and CCD sources
Automatic validation of incoming clinical data
Gap suppression before outreach is triggered
Provider outreach only when digital retrieval is insufficient
Why It Matters
Lowers chart retrieval costs by up to 50%
Accelerates time to clinical evidence
Decreases provider abrasion and fatigue
Improves outreach team efficiency significantly
What It Replaces
Manual provider chasing as the default first step
Blanket outreach campaigns without digital pre-screening
Redundant chart requests for digitally-available data
What This Means for Your Plan
Reduce retrieval costs by 30–50%
Cut unnecessary provider outreach volume
Improve retrieval turnaround times
Increase early gap resolution through digital data
Execution Flow
Query aggregators and CCD sources
Digital data sources checked before any provider is contacted
Validate incoming records
Confirm completeness and measure eligibility automatically
Suppress resolved gaps
Digitally-confirmed compliance closes gaps without outreach
Trigger conditional outreach
Provider contact only when digital retrieval is insufficient
Execution Flow
Ingest charts and CCDs
Structured and unstructured records queued for processing
AI-assisted extraction
Relevant clinical evidence surfaced with PHI-aware logic
Clinician validation
Licensed abstractors confirm every finding before output
Workflow feedback
Findings update gap status and feed suppression in real time
Turn Clinical Evidence into Defensible Measure Outcomes — In Real Time
AI-assisted abstraction with clinician validation ensures consistent, audit-ready findings embedded directly in execution workflows.
What Happens
AI-assisted evidence extraction from charts and CCDs
Structured numerator and exclusion capture
Clinician validation through OR1 / OR2 / QA workflows
Real-time feedback into gap suppression and outputs
Why It Matters
Eliminates abstraction variability across reviewers
Improves accuracy and consistency at scale
Enables scalable operations without linear hiring
Ensures audit defensibility of every finding
What It Replaces
Spreadsheet-based abstraction tracking
Disconnected review workflows with no system feedback
Inconsistent numerator and exclusion scoring
What This Means for Your Plan
Increase abstraction accuracy and consistency
Reduce QA rework overhead
Scale abstraction without a hiring surge
Improve confidence in reported outcomes
Generate Audit-Ready Outputs Automatically — Not After the Fact
Every validated finding is structured, mapped, and packaged into audit-ready outputs with full traceability — eliminating reconciliation cycles entirely.
Audit readiness is measured using Podero's evidence validation framework. View the Audit Readiness Framework →
What Happens
Real-time measure mapping to HEDIS® / Stars specifications
Automated output formatting for CSV, extracts, and audit files
Full traceability to source documentation and abstractor credentials
On-demand audit evidence packaging for MRRV / PSV review
Why It Matters
Eliminates manual output reconciliation cycles
Reduces audit risk and submission errors
Accelerates reporting timelines significantly
Ensures full reproducibility of every result
What It Replaces
Manual report building and late-stage reconciliation
Disconnected audit prep workflows assembled under pressure
Missing or incomplete audit trails during review
What This Means for Your Plan
Reduce audit preparation effort and time
Improve MRRV / PSV readiness
Deliver consistent, compliant outputs every cycle
Increase confidence in measure submissions
Execution Flow
Real-time measure mapping
Validated findings mapped to HEDIS® / Stars specs automatically
Automated output formatting
CSV, XML, and plan-specific extracts generated on validation
Full traceability
Page citations, timestamps, and abstractor credentials on every record
Audit package generation
Evidence packets assembled on demand for MRRV / PSV review
Output Package Contents
Why Podero Wins Where
Others Break Down
Most vendors stop at fragmented services or disconnected tools. Podero connects retrieval, abstraction, and output generation into one measurable execution system.
Most Vendors
Start with provider outreach as the default
Rely on manual abstraction workflows
Generate outputs after the fact
Operate across disconnected systems
Podero
Starts with digital data retrieval first
Embeds abstraction directly in execution workflows
Produces outputs in real time — not post-process
Connects every step into one execution system
One Connected System —
From Data to Gap Closure
Each step feeds the next — ensuring no duplication, no data loss, and no wasted effort.
Evidence Acquisition
Retrieve and validate evidence with a digital-led approach
Clinical Abstraction
Convert records into structured findings
Audit-Ready Outputs
Generate compliant, traceable deliverables
Outreach
Focus action only where gaps remain open
Gap Closure
Drive measurable quality improvement
Podero connects every step into one execution system — eliminating redundancy and driving measurable outcomes.
Prove ROI in 30–90 Days —
Before You Commit to Scale
Run a focused pilot on your population — 30–90 days depending on scope and population — and measure real impact across retrieval, abstraction, and gap closure performance.
Defined population and measures
Configured workflows
Measurable performance outcomes
Audit-ready deliverables
Designed for healthcare organizations and quality teams that want measurable results before enterprise rollout.