November 15, 2021

Episource at RISE Risk Adjustment Fall Forum 2021

November 15 - 17, 2021
Live at Caesars Palace, Las Vegas

Episource is reinventing the way healthcare organizations manage their risk adjustment programs. From risk adjustment analytics, retrospective chart reviews, in-home and virtual health risk assessments, EDS submissions and quality reporting, we empower some of the most recognizable names in healthcare. With elegantly simple solutions, Episource helps payers navigate the chaos of the healthcare system to simplify healthcare.

How to connect with us during the conference:

• Presentation
• Exhibit Hall at Conference Venue (Caesars Palace)

Presentation

Is 95% Coding Accuracy Good Enough? The Power of NLP-Targeted Second-Level Review

Tuesday, November 16th
1:45 – 2:30 pm PT

In our upcoming presentation at the 18th annual RISE Risk Adjustment Forum, we’ll share how health plans can use NLP to maximize their risk-adjustment programs.

You’ll learn how to:

• Understand the challenges and risks associated with under and over-coding.
• Examine differences between NLP engines and calculate how to leverage NLP-powered second-level reviews to “look both ways”.
• Learn what to look for in an NLP engine and how to leverage NLP-powered second-level reviews to “look both ways”.

Add to Calendar

Presenters:

Erik Simonsen
Chief Operating Officer
Episource

Erik is responsible for the delivery of onshore and offshore coding services, record retrieval, IT infrastructure, and compliance. His knowledge in engineering, finance, and operations enables him to continuously improve performance and operational transparency for clients. He has over ten years of experience managing outsourced centers, and substantive backgrounds in investment banking and technology. Erik has a BS in Biomedical Engineering from Johns Hopkins University and an MBA from NYU Stern.

Thomas Nasadoski, MBA, CRC
Director, Risk Adjustment and Recovery
CDPHP

As the Director, Risk Adjustment and Recovery for CDPHP, Tom oversees managing the Medicare Advantage, Commercial, and Medicaid risk adjustment initiatives and CMS reimbursement to the plan. With more than 20 years of managed care experience, his experience includes hospital contracting, vendor management, government program financial analysis, contract negotiation, application implementation, and revenue cycle management. Tom has an MBA from SUNY Empire State College as well as an advanced certificate in healthcare management. He became a Certified Risk Adjustment Coder (CRC) in 2018.

1×1 Appointments: Meet with our Experts

Senior members of our team will be available during the conference. Make an appointment to talk to them about:

• • Risk Adjustment Analytics Services and Program Assessments
  • epiAnalyst – Analytics and targeting
  • epiEncounter – Encounter submissions