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The Episource Clarity Platform is an end-to-end platform for risk adjustment and quality initiatives. 

It delivers tangible outcomes for our nation’s leading risk-bearing providers by supporting all aspects of risk adjustment, including analytics, record retrieval, medical chart coding, and more — all while delivering superior client services, flexibility, and the ability to deliver at scale. Take advantage of our suite of tailored offerings designed to reduce provider burnout and enhance patient outcomes. 

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Episource Clarity Platform

Provider

Access

SAAS SOLUTION

Cloud-Based Platform Portal

Analyze

Risk Scoring, Analytics & Suspecting

EXPERT-LED SERVICES

Risk Adjustment Program Assesment

SAAS SOLUTION

Acquire

Data Acquisition & Interoperability

EXPERT-LED SERVICES

Medical Record Retrieval

Direct EMR

Remote Automation

TECH-ENABLED SOLUTION

Code

NLP-Powered Medical Chart Coding

EXPERT-LED SERVICES

Concurrent Review

Retrospective Review

Final Check Review

Chart Audits

SAAS SOLUTION

Engage

Clinical Support

EXPERT-LED SERVICES

Pre-Visit Review

SAAS SOLUTION

Submit

Data Submission

EXPERT-LED SERVICES

MAC Portal Submissions for Retrospective Coding

SAAS SOLUTION

Our Offerings

Explore the various healthcare provider solutions we offer to meet the unique needs of providers and provider groups:

Our online client reporting portal, Episource Connect, delivers real-time project data in a secure and compliant environment. Track the status of your record retrievals, chart coding, and other risk adjustment projects with our easy-to-use platform.

Connect

Our risk adjustment analytics platform turns data into actionable insights at the touch of a button for Medicare Advantage, Medicaid, and ACA health plans, as well as provider groups.

Analyze

Using our intelligent, cloud-based retrieval platform and NLP technology, Episource Hub gives provider groups timely electronic access to clinical data across disparate sources.

Acquire

Episource Coder offers NLP-powered coding tools to empower payers and providers to code charts and audit in-house vendor work with more accuracy and efficiency.

Code

Episource CDI Coder, make prospective coding reviews more efficient. Empower your teams to make the best clinical and coding decisions possible with our easy-to-use platform.

Engage

Risk Adjustment
Program Assessment

Leverage our risk adjustment analytics expertise to assess program performance. We’ll help you identify areas of opportunity, implement interventions, and measure the impact of your efforts over time.

Analyze

Medical Record
Retrieval

With more than 14 years of experience, we’ve streamlined the medical record retrieval process for health plans and their provider networks through a repeatable, scalable, and customizable approach.

Acquire

Remote
Automation

Performing remote chart retrieval manually can be a cumbersome task, consuming valuable time and effort. The process of logging in, searching, and downloading charts can extend for days or even weeks, particularly with larger chases.

Acquire

Direct
EMR

Our Direct EMR service can simplify this process for you. Our interoperability solution, Episource Hub, streamlines data exchange by providing a chase list detailing specific data requirements.

Acquire

Concurrent
Review

Leverage our best-in-class NLP technology and our deep bench of experienced coders to efficiently identify confirmed and suspected diagnoses to document on your claims.

Code

Retrospective
Review

Uncover unsubstantiated codes and improve clinical documentation accuracy with our comprehensive retrospective coding services, executed by the industry’s largest full-time coding team and our proprietary NLP engine.

Code

Chart
Audits

We offer multiple levels of chart audit services that adapt to your workflow and provide unparalleled results. Choose the chart audit service based on your specific needs.

Code

Final Check
Review

Final Check Review is an efficient, cost-effective second-level review of medical records that ensures over 95% coding accuracy and full compliance prior to submission.

Code

Pre-Visit
Review

We analytically distill the year-over-year diagnoses and clinically-suspected diagnoses that clinicians can address — all in advance of a patient visit.

Engage

MAC Portal
Submissions for
Retrospective Coding

We ensure that your program is compliant with evolving CMS guidelines through reporting of your members’ medical events and enabling error corrections prioritized by risk impact.

Submit

Why Choose Us?

Tailored Solutions

We understand the distinct requirements of providers and offer customized solutions to meet those needs.

Innovative Technology

Stay ahead with our cutting-edge services and solutions designed to optimize efficiency and performance.

Exceptional Support

Our dedicated team is committed to providing unparalleled support, ensuring seamless integration and implementation of our solutions.

Experience the Difference

with our healthcare provider solutions and services.

Partner with us and unlock the potential to deliver the best care possible to your patients.

Contact Us

500 W. 190th Street, Suite #400 Gardena, CA, 90248 USA

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© 2024 Episource. All rights reserved.

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Privacy

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Terms Of Use

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Compliance

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FAQ