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Risk Adjustment

COVID-19 Brings Telehealth to the Forefront

In a bid to contain the novel coronavirus (COVID-19), President Trump declared a national emergency on March 13, unlocking $50 billion in aid and expanding Medicare telehealth benefits. Aimed at providing Medicare beneficiaries greater access to healthcare services, the move will help members receive safe, continual care while limiting exposure and spread of the virus.

Risk Adjustment

ONC, CMS Interoperability Rules: A Review

Recently, the Office of the National Coordinator for Health Information Technology (ONC) released a draft of their Strategic IT Health Proposal for 2020-2025. This proposal addresses the deliverables included in the 21st Century Cures Act, which focuses on making health data accessible to patients and care providers, increasing choice, encouraging competition, and fostering innovation.

Technology

Episource Securely Connects with Austin Go Language Community

Episource can help major health plans achieve 95% accuracy for medical record coding and retrieval, but that’s only possible because 100% of Episource is made up of great people passionate about making healthcare better. Since the Go Language community has been instrumental to helping us build solid, secure, and performant software, we jumped at the chance to speak with them in Austin.

Technology

Generate Gap Letters in 90 Seconds with epiAnalyst

Building a product from scratch gives the freedom to identify necessary changes and build them out quickly. Our product team takes this to heart during regular updates to our in-house analytics platform, epiAnalyst, as they develop its feature set.

Risk Adjustment

How to Make the RAPS to EDS Transition Seamless

As the Centers for Medicare & Medicaid Services continues the transition from the Risk Adjustment Processing System to the Encounter Data System for calculating Medicare Advantage risk scores, payer organizations should have a plan in place to minimize system errors under the new model.

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