Stay up-to-date on the latest healthcare risk adjustment & technology perspectives.

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Episource Bulletin

Stay up-to-date on the latest healthcare risk adjustment & technology perspectives.

Risk Adjustment

Advance Notice 2021 - Goodbye RAPS

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...

Risk Adjustment

Is 95% Coding Accuracy Good Enough?

Accuracy, efficiency, and compliance: these are all qualities health plans aim to achieve in their risk adjustment. Is 95% Coding Accuracy Good...

Risk Adjustment

Risk Adjustment for ACOs: A Primer

Final Medicare Shared Savings Program (MSSP) rule, called “Pathways for Success,” for Accountable Care Organizations (ACOs).

Risk Adjustment

How to Make the RAPS to EDS Transition Seamless

The transition from RAPS to the EDS for calculating Medicare Advantage risk scores, payer organizations should have a plan to minimize system errors.

Risk Adjustment

And That's a RAPS!

For CY 2022, CMS has proposed that encounter data submissions would be the only source used in risk score calculations. RAPS would no longer be used.

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