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MAC Portal Submission

Efficient Solution to Correct Submitted Codes

Our MAC Portal Submissions for Retrospective Coding adds and deletes diagnoses from your submitted claims
Episource risk adjustment

About the Service

Accurate diagnosis codes are vital for all Accountable Care Organizations (ACOs). Correct codes pave the way for valid documentation, accurate risk scores, and proactive patient care. Correcting codes that have already been submitted to CMS, however, has always been a labor-intensive and time-consuming process…until now.

Our MAC Portal Submissions service gives you a reliable method to correct submitted codes without expending hours of labor. Let our team of coding experts review your charts, identify errors, and make necessary corrections. Have confidence that your submissions are correct and compliant.

Key Features

Flexibility

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

Compliance

Episource is HITRUST 9.3, ISO 27001, NIST, and SOC 2 with AWS and Salesforce certified. Our solutions meet all applicable regulatory requirements.

Advanced Reporting & Analytics

Provides comprehensive dashboards and reporting capabilities to provide real-time visibility into gap identification and other metrics.

Expert Coding & Documentation Review

Leverage our experienced coding team to review charts to identify properly documented diagnoses and streamline coding output to deliver accurate and compliant submissions.

Dedicated Support

Benefit from a coding team that delivers prompt assistance, resolves inquiries, and ensures a smooth experience. 

Workflow

MAC Portal Submissions for Retrospective Coding Process

Identify missed diagnoses and improve risk score calculations

Gain a comprehensive understanding of patient risk profiles 

Improve reimbursement rates through higher RAF scores  

More accurate and complete claims data submissions

Our Impact

$ 0

PMPM boost for one Episource client

+ 0

avg. change to risk score for one Episource client

Testimonials

Episource Client

We wanted more transparency and better support [for] what was going on with our records and our submissions to CMS.

Episource Client

It was really mind boggling. We definitely wouldn’t have made that deadline without Episource’s assistance.

Episource Client

They have definitely exceeded our expectations.

Additional Resources