Featured

Bar graph of Medicare Advantage enrollment numbers for October.

Medicare Advantage Enrollment Update: October 2022

In this monthly report, you will learn more about enrollment trends over the last 12 months, Medicare Advantage market share by health plan, and the biggest enrollment changes.

Episource won Kudos' 2022 Best Culture Innovator award

Episource Earns Kudos’ 2022 Best Culture Award in the Culture Innovator Category

Episource announced today that it won the Best Culture Award from Kudos, the company that unlocks potential through employee recognition, in the Culture Innovators category.

Image of chess pieces in a rainbow formation

How Delegating Coding Can Reduce Burnout and Improve Care

Today, 80% of rural Americans live in medically underserved areas, known as healthcare deserts. Meanwhile, many physicians are suffering from burnout. Our Director of Risk Adjustment Programs & Education, Susan Richards, outlines strategies for extending the capabilities of providers and relieving them of nonclinical tasks to increase their capacity to care for patients.

Case Study 10 Nov 2022
hand signing the number two

Medicare Advantage Plan Identifies Unrealized Reimbursement with NLP-Powered Second-Level Review

Episource
  • Risk Adjustment
Post 9 Nov 2022
Image of chess pieces in a rainbow formation

How Delegating Coding Can Reduce Burnout and Improve Care

Susan Richards
  • Risk Adjustment
  • Value-Based Care
Slide Deck 3 Nov 2022
person stacking wooden blocks

Surfacing Complex Conditions: How to Improve Outcomes Across the Risk Adjustment Continuum

Episource
  • Risk Adjustment
Case Study 3 Nov 2022
Picture of a line of piggy banks with one blue piggy bank

Medicare Advantage Plan Identifies Unrealized Reimbursement With Advanced Coding Audit

Episource
  • Risk Adjustment
Case Study 2 Nov 2022
white metallic background

Accurate, Transparent, and Compliant Retrospective Chart Retrieval and Reviews for a Large Payer

Episource
  • Risk Adjustment
  • Compliance
Slide Deck 2 Nov 2022
Image of blue data points interlocking

Surfacing High-Risk Diagnosis Codes: Leveraging OIG’s Methodology to Better Ensure Integrity in Submissions

Episource
  • Risk Adjustment
  • Compliance
  • Technology & Analytics
Webinar Recording 6 May 2022
Image of technology waves

Analytics & Accuracy: How to Improve Program Performance by Surfacing Complex Conditions

Episource
  • Risk Adjustment
  • Technology & Analytics
White Paper 23 Mar 2022
blue binary numbers in technology display

Coding Newborn Ailments for Risk Adjustment

Episource
  • Risk Adjustment
Post 23 Dec 2021
projected screen of green binary codes in waterfall cascading formation

Is 95% Coding Accuracy Good Enough?

Erik Simonsen
  • Technology & Analytics
  • Risk Adjustment
  • Compliance
Slide Deck 8 Dec 2021
Photo of dartboard with holes near the bullseye

Is 95% Coding Accuracy Good Enough? The Power of NLP-Targeted Second-Level Review

Episource
  • Risk Adjustment
  • Technology & Analytics
White Paper 28 Jul 2020
Doctor using stethoscope to hear the heartbeat of a baby

Key Differences in Pediatric Risk Adjustment

Episource
  • Risk Adjustment
Tool 24 Jun 2020
sheet of blank paper

HCC Tearsheet 2020

Episource
  • Risk Adjustment
Post 27 Nov 2019
doctor typing on laptop

How to Conduct Clinical Suspecting to Capture HCCs

Meleah Bridgeford
  • Risk Adjustment
Post 9 Sep 2019
binary codes laid out vertically in stalagmite formation

How to Identify and Apply ICD-10 Combination Codes to Improve Medicare Risk Adjustment Performance in 2019 and Beyond

Episource
  • Risk Adjustment
Post 23 Jul 2019
blue binary codes streaming across image

Risk Adjustment for ACOs: A Primer

Episource
  • Risk Adjustment
  • Value-Based Care