Simplifying healthcare

We are reinventing the way healthcare organizations manage
their member populations
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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 Quality 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/EDS data, resolve errors, reconcile, and submit — without complexity and in one single tool
Track your financial results with Epi Encounter

SEE OUR LATEST POSTS

Sep 17, 2020

And that’s a RAPS!

On Monday, September 14th, CMS released their annual Advance Notice three months earlier than what has come to be expected. This is a move, that even though it was offered as a possibility, is one more unprecedented occurrence for 2020.

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Aug 14, 2020

Preparing for a different future: The 2021 Rate Announcement

Episource's Director of Risk Adjustment & Payer Solutions, Meleah Bridgeford, reviews CMS' 2021 Rate Announcement and its effects four months into a public health emergency. How has COVID-19 affected EDS Percentages, Coding Trends, and Increased HCCs?

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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
EXPERIENCE IT