RISK ADJUSTMENT

epiAnalytics

epiAnalytics leverages proprietary algorithms to identify HCC gaps at member and provider levels for accurate RAF reporting.

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Commercial/HIX / Medicaid / Medicare

Retrospective Chart Reviews

At Episource, Retrospective Chart Reviews have been the focus of our coding expertise since 2009.

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Commercial/HIX / Medicaid / Medicare

Provider Coding Educators

Episource’s expert coders are well versed in all areas of documentation, assisting providers with a range of comprehensive services.

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Commercial/HIX / Medicare

RADV Audit Support

Episource is fully prepared and capable of supporting RADV audits, including data import, record retrieval services, medical record review, and CMS submission.

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Commercial/HIX / Medicaid / Medicare

Consulting Services

Episource offers a full range of consulting services for risk adjustment organizations across all lines of business: Medicare Advantage, Commercial/HIX, and Medicaid.

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Commercial/HIX / Medicaid / Medicare