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Efficient Retrieval and Accurate Coding for Medicare Advantage Plans

Woman performing medical coding and billing
Episource
March 19, 2024

Having struggled with multiple challenges like lack of quality oversight, provider abrasion, and constant regulatory changes with past vendors, our Medicare Advantage Plans payer client partnered with Episource to achieve a 95% retrieval rate, over 99% coding quality, and an average RAF increment of 0.045 across all members coded for. Learn how this client achieved these outcomes and more by downloading our case study.

Explore more case studies like this one and read our white paper on how risk adjustment coding can ease your transition to valued-based care.

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