Simplifying healthcare

We are reinventing the way healthcare organizations manage their member populations with an integrated platform. Combining intelligent technology and expert teams, we empower the most recognizable names in healthcare with end-to-end risk adjustment solutions.

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19TH RISE RISK ADJUSTMENT FORUM PRESENTATION

Discuss risk adjustment challenges and population complexities, particularly in the ACA market.

SAVE THE DATE

FUTURE-PROOF YOUR 2022 RISK ADJUSTMENT PROGRAM

Discover how advanced technologies like AI and NLP can improve program performance.

EXPLORE INSIGHTS

SIMPLIFIED WORKFLOWS FOR HEALTHCARE PAYERS AND PROVIDER ORGANIZATIONS

RISK
ADJUSTMENT

Improving implementation, operations, and management of risk adjustment programs for Medicare, Commercial and Medicaid health plans and risk adjusting organizations. Explore risk adjustment solutions that drive accuracy and outcomes.

Learn about our Risk Adjustment Process

QUALITY ANALYTICS
& REPORTING

Advanced analytics, made with your members in mind. Measure performance, identify gaps and launch targeted campaigns to meet your data goals.

Discover how our quality solutions can help you

HEALTH RISK
ASSESSMENTS

We assess the health of your members in any setting, closing documentation gaps for risk adjustment and quality programs.

Read More About Our Clinical Services

Identify Hierarchical Condition category Coding (HCC) gaps, stratify members, and follow simple workflows to close gaps faster than ever before. Share reporting and insights within minutes or download reports at the member and provider level.

Act on new insights with epi analyst

Simplify your encounter submissions with detailed reports on the financial impact of your RAPS/EDS data, resolve errors, reconcile, and submit — without the complexity and in one single tool.

Track your financial results with epi encounter

epiCoder dashboard showing 4 pending L2 charts

Code charts in-house or audit vendor work. Integrating Artificial Intelligence in healthcare is key to providing a better service, so we created epiCoder to meet your risk adjustment software coding needs.

Code charts and audit vendor work in-house

SEE OUR LATEST POSTS

Mar 31, 2022

Advancing Technology and Teams to Serve In-Need Populations with Dignity – Interview

Interview at RISE National with U.S Hunger CEO, Rick Whitted, shares his perspective on learning and advancing technology through the pandemic and how to treat people and teams with dignity and trust.

Mar 31, 2022

Leveraging Political Insights to Power First-Class Healthcare – Interview

Interview at RISE National with Meyers Group, LLC Senior Partner, J.R. Meyers, shares his perspective on navigating the political environment to generate funding and access for his clients, particularly hospitals and healthcare organizations.

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We simplify the management of member programs by making it radically more efficient, and increasing value to healthcare organizations and their members