DIAGNOSIS SUSPECTING

TECHNOLOGY THAT RESULTS IN BETTER CARE

Through our advanced analytics technology, we help clients identify members with undocumented HCCs. By using robust workflow solutions, we also assist operational teams with capturing these HCCs.

Contact a Solutions Consultant

OVERVIEW

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.

BENEFITS

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

EXPLORE MORE

  • Healthcare Technologies

    Medical Coding Tool

    READ MORE
  • Healthcare Technologies

    epiConnect

    READ MORE
  • Healthcare Technologies

    Record Retrieval

    READ MORE