QUALITY

Quality of Care Gap Reporting

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Commercial/HIX / Medicaid / Medicare

HEDIS Medical Record Reviews

Episource offers HEDIS performance-rating reports with in-depth reviews of eligibility, administrative claims, and encounter data.

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ACO's / Commercial/HIX / Medicaid / Medicare

STARS and Care Gaps Analysis

Episource has comprehensive experience in assessing and developing improvement projects for Medicare STAR measures.

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Commercial/HIX / Medicaid / Medicare

ACO GPRO

At Episource, we offer end-to-end medical record retrieval and abstraction services for GPRO submissions.

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ACO's / Commercial/HIX / Medicaid / Medicare

Member Outreach and Interventions

Through proactive and automated patient engagement, we use our quality analytics platform to identify and close HEDIS and care gaps.

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Commercial/HIX / Medicaid / Medicare