Company Profile
Episource, LLC
Company Overview
Episource is a business services and technology company serving Healthcare Payers and Provider Organizations in the Medicare, Commercial/HIX and Medicaid markets. Episource offers cutting-edge services and solutions to help healthcare organizations navigate the complexities of government programs. Our expertise includes Retrospective Chart Reviews, Risk Adjustment Program Improvement, Workflow and Analytics, Encounter Data Error Resolution and Financial Analytics, and Quality Improvement. Episource serves some of the largest health plans, medical groups and IPAs in the country, with staff credentialed by AAPC and AHIMA, and with deep expertise in risk adjustment and quality improvement.
Company History
Episource, with over 1500 employees worldwide, is a leading provider of risk adjustment services and solutions for health plans. Our services help Medicare Advantage, Commercial/Exchange, and Medicaid managed care plans improve and support accurate reimbursement in a post-Affordable Care Act market. Our services include retrospective chart reviews, medical record retrieval, HEDIS/ACO quality reporting, and data analytics, allowing payers and providers to dramatically reduce costs and improve quality of care.
Episource provides accurate, simple, and powerful applications and services tailored to the needs of Health Plans, Medical Groups, and Independent Physician Associations looking to improve the quality of care, and to simplify their risk adjustment processes.
From robust Risk Adjustment Analytics, Retrospective Chart Reviews, Quality Reporting, Encounter Data Submissions, and Clinical Services.
Episource starts with the smallest of details and translates them to create better patient insights around disease profiles and care gaps.