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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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
Risk Adjustment Risk Adjustment

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
Quality Quality

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
Health Risk Assessments Health Risk Assessments
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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
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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

GET STARTED TODAY

We simplify the management of member programs by making it radically more efficient, and increasing value to healthcare organizations and their members
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Presentation @ RISE VBC: Effective Collaboration Strategies Between Payer & Provider

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