March 11, 2020
Episource at RISE Nashville: POSTPONED
Episource continually works with our clients to ease industry disruption through innovative practices. Strategies like conducting early review and applying a longer lens to a risk adjustment strategy have identified incredible gains for our partners.
Senior members of our team will be available during the conference. Be sure to ask them about:
- Advanced Chart Audits
- Analytics and Targeting
- Encounter Submissions
- In-Home Assessments with SDOH
- Dual Eligible Enrollment
Take a (Coffee) Break From the Pitches
We are keeping with tradition by providing a free gourmet coffee bar. Stop by 101A in MCC to get your fill of cappuccinos, lattes, and other caffeinated beverages.
Risk Adjustment Microstrategy Operations
Co-CEO of Episource
VP Risk Adjustment and Quality
Healthcare Partners Nevada
Date and Time: TBD
Make no mistake, Risk Adjustment Factors will fall across the board in 2020. With the new APCC model being incorporated, plans need to employ additional strategies to remain even YOY. Episource’s talk will cover how:
- Staple Risk Adjustment programs of Chart Review and Prospective Assessments will yield RAF up to 7% lower
- New techniques will allow plans to capture codes that would otherwise fall through the cracks of traditional RA programs
- Best practices will be to employ a well-timed comprehensive list of retrospective and prospective campaigns, as well as the established and emerging technologies that will support programs (i.e. analytics programs, EDS-specialized submissions, NLP etc.)
- Plans and provider groups can work together to improve the accuracy of risk scores through commitments to share risk and actively collaborate
- Risk Adjustment departments need to implement a range of micro-strategies for capturing codes, including provider query, second level review coding audits, and year-round analytics
Harshith is primarily responsible for new product development and global operations. Prior to joining Episource, he was in the investment banking industry, focusing on M&A, restructuring, and capital markets assignments. He has worked for a range of global institutions, including Moelis & Co., Bain & Co., and Bear, Stearns & Co. Harshith earned his Bachelors at Tulane University, and an MBA from the Wharton School.