Simplifying healthcare

We are reinventing the way healthcare organizations manage
their member populations

SIMPLIFIED WORKFLOWS FOR HEALTHCARE PAYERS AND PROVIDER ORGANIZATIONS

RISK
ADJUSTMENT

Implementation, operations, and management of Risk Adjustment programs for Medicare, Commercial and Medicaid health plans and risk adjusting organizations
Learn about our Risk Adjustment process
Risk Adjustment Risk Adjustment

QUALITY ANALYTICS
& REPORTING

Measure performance, identify gaps and launch targeted campaigns to meet your HEDIS and STARS 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

Identify 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

Get detailed reports on financial impact of your RAPS/EDPS data, resolve errors, reconcile, and submit — without complexity and in one single tool
Track your financial results with Epi Encounter

SEE OUR LATEST POSTS

Oct 16, 2019

Four Common Medical Coding Errors Made with the 2019 CMS-HCC Model

The HCC Risk Adjustment Model released this April by the Centers for Medicare & Medicaid Services for payment year 2020 includes important revisions coders should be aware of. In an effort to support coders and plans working within the updated model, we’ve described several examples of coding errors and ways to resolve them.

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Sep 16, 2019

CMS HCC 2019 Risk Adjustment Model: Retrospective HCC Code Capture Best Practices

As your organization looks toward 2020 PY, implementing the new APCC model, and understanding how it will affect risk scores, there is still time to look at 2019 PY, conduct retrospective chart reviews, capture the new HCCs, and implement a plan for the future.

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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
EXPERIENCE IT