At Episource, we identify opportunities through our proprietary algorithms, whether year-over-year chronic HCC recapture opportunities, or clinical suspects driven by lab, Rx, Claims and DME Data. However, that’s just half the equation. Episource is unique in our ability to provide technology workflows to complete the circle, efficiently converting an HCC opportunity into a captured code. This ensures better and more complete data, improved reimbursements, and ultimately, better care for your members.
Minimize false positives through machine learning with our best-in-class HCC gap predictive modeling engine
Identify, prioritize and stratify members with HCC gaps (incomplete, or undocumented codes) in minutes, not days
Easily slice and dice your data, and create target-lists/sub-populations on the fly
Manage all RAF programs (e.g., chart audit, home health, attestations) – both project management and HCC Yield/ROI management – through a single platform
See the data you want, with just a few clicks: highly detailed operational reports, and high-level management reports that are easily customizable
Identify, capture, and submit better data to get higher reimbursements to manage your high-risk population