This Blue Cross plan wanted to improve its medical record retrieval and coding processes to ensure accurate documentation and optimize member outcomes. The Blue Cross Plan was also contending with common issues such as complex and evolving regulations, overwhelmed providers, and difficulties with locating the health histories of new members.

The solution? A partnership with Episource. Together, we worked to understand the issues on a deeper level and then develop solutions that were tailored to target the root causes. From coding accuracy to better health outcomes for members, the results have been impressive.

Read the full case study to get a detailed explanation of how this health plan was able to improve key facets of its risk adjustment program and how these improvements allowed them to offer better care to members.

See how Blue Cross and Blue Shield plans that have partnered with Episource have been reporting improvements in the quality of their coding by downloading this infographic.