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

Feb 11, 2019

V23: How To Ensure Retrospective HCC Code Capture

When the new CMS-HCC Risk-Adjustment Model (V23) took effect in January 2019, it included 4 new HCC categories, 83 new HCC codes and more than 9,500 ICD-10 codes. Capturing the codes will be a challenge since they require special expertise on the part of the provider. When it comes to retrospective HCC code capture, it’s vital that plans have the right data and processes to ensure accurate reimbursement. Here are some strategies to consider.

READ MORE
Jan 24, 2019

Medicare Advantage Enrollment Update – January 2019

Learn about the top organizations, biggest enrollment changes, and year-over-year growth

READ MORE
SEE MORE

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