Episource Bulletin
Download Episource's RISE Risk Adjustment Fall Forum 2021 presentation slide deck on how to leverage NLP in your second-level reviews.
To help ACOs and newly-formed DCEs navigate the challenging healthcare landscape of today, Episource has created a toolkit for taking risk.
Learn the importance of implementing NLP to increase accuracy and surface complex diagnoses, particularly in the ACA market.
Learn how innovative platform solutions can drive better patient care and program performance.
Strategies for Strengthening the Payer-Provider Relationship
Master the complexities of Medicaid risk adjustment with three analytics-driven strategies.
Understand how to turn trends in heavily weighted codes into action
The 2019 final notice, CMS has advised on the implementation of the 21st Century Cures Act, requires that any changes made be phased in within 3...
Health plans must prioritize resources to focus greater effort on members that have HEDIS gaps.
The use of analytics for the proactive review of and oversight into coding and submission processes has become more critical than ever.
ICD-10 combination codes allow you to report a single code which includes multiple characteristics of the diagnosis.
Clinical suspecting is the process of identifying possible conditions that are indicated in clinical data but remain undocumented.
One of the primary challenges ACOs face with risk adjustment is patient targeting.
The Centers for Medicare & Medicaid Services (CMS) has a goal for 100% of providers to accept downside risk by 2025.
Over the past decade, the Centers for Medicare & Medicaid Services (CMS) has developed more than 50 Alternative Payment Models (APMs) with the goal...
Combine analytics and expertise to find and prioritize interventions that impact financial and clinical outcomes.
COVID-19 continues to create uncertainty for healthcare organizations, particularly as the new Delta variant moves across the globe.
Accuracy, efficiency, and compliance: these are all qualities health plans aim to achieve in their risk adjustment. Is 95% Coding Accuracy Good...
Accuracy, efficiency, and compliance: these are all qualities health plans aim to achieve in their risk adjustment. Is 95% Coding Accuracy Good...
Final Medicare Shared Savings Program (MSSP) rule, called “Pathways for Success,” for Accountable Care Organizations (ACOs).
Be the first to know about new risk adjustment insights to build or refine your program with the tools and knowledge of today’s industry.