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We offer intuitive submissions and encounter data management solutions and services that identify errors across models, enables easy corrections, and generates accurate financial projections — no matter the market.

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“Every health plan is unique in submitting and receiving data from different sources.”

Ashok Nadimpalli, Director of Product Submissions

Episource Submitter offers an integrated encounter data error management and submissions solution to streamline error corrections and prioritize based on risk score impact.

Designed for Ease of Use

Intuitively designed for error management, Episource Submitter’s elegant UI provides quick navigation through dashboards, tools, and reports. Help us get a sense of your circumstance. Our expert teams and their advanced technologies are ready to meet your specific needs.

Client Success Story: The Health Plan

  • $1M identified in potential lost revenue
  • 0% rejection rate
  • 200,000 lines of EDPS errors corrected in under two months

Critical Revenue Improvements

“It was really shocking to see how much data and how many encounters that corresponded to at least $1 million in revenue for our company, which may be a drop in the bucket to some of your larger plans out there, but to a small plan like us, that’s very critical.”

– Matt Davis, Assistant Director of Quality Improvement, The Health Plan

MAC Portal Submissions for Retrospective Coding

Our retrospective coding service offers ACOs an efficient, reliable method to correct submitted codes without expending hours of labor.

Reporting and Analytics

Comprehensive dashboards and reporting capabilities provide real-time visibility into gap identification, submission results, financial impact, and other metrics.

Expert Coding and Documentation Review

Our experienced coding team thoroughly reviews charts to identify properly documented diagnoses and streamline coding output to deliver accurate and compliant submissions.

Flexibility

Our service adapts to specific submission restrictions for all Alternative Payment Models (APMs).

Encounter Data Management

Our experts ensure that your program is compliant with evolving CMS guidelines by executing complete reporting of your members’ medical events, enabling error corrections prioritized by risk impact, and providing a line of sight into potential risk scores.

Error Prioritization

Our experts identify the data elements in each of your errors and provide actionable feedback. We prioritize these errors by RAF impact, including 999, 277, and MAO-002 issues.

Better Returns from CMS

The ability to correct errors provides greater control and produces better returns from CMS.

Comprehensive
Financial Reporting

We examine your data and extract the plan- and member-level risk scores, making reporting easier and saving time.

Financial Projections

Produce up-to-date financial reports based on your encounter data and its current status. You can also view revenue projections for each encounter data error to help you prioritize by financial impact.

Accurate Financial
Projections

Leverage MAO-004, MMRs & MOR’s to derive financial insights.

Comprehensive Financial Reporting

Plan- and member-level risk scores make reporting easier and saves time.

Reduce Administrative Burden

Our service is run on a fully compliant platform that efficiently reports your members’ medical events to CMS, HHS, or State Medicaid Agencies.

Comprehensive
Reporting

Improved Data Integrity

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500 W. 190th Street, Suite #400 Gardena, CA, 90248 USA

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