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Blue Cross & Blue Shield Success By the Numbers

partnership
Episource
October 14, 2024

Blue Cross and Blue Shield plans that have partnered with Episource report significant improvements in key areas. These include coding quality, medical record retrieval rates, documentation accuracy, and member health outcomes. By leveraging Episource’s risk adjustment solutions, health plans transform data management and enhance documentation processes. As a result, they achieve better financial performance and elevate the care experience for members. Want to know why this partnership is so successful? Our new infographic breaks down the impressive impact and measurable results.

Why Partner with Episource?

Episource delivers tailored, data-driven solutions that address the unique challenges health plans face. We maximize the efficiency of risk programs through advanced analytics. Additionally, we optimize medical record retrieval with high success rates and ensure documentation quality with rigorous coding standards. Our holistic approach helps health plans improve financial outcomes while keeping member care a priority. Furthermore, we seamlessly integrate our services with your processes, empowering your organization to handle risk adjustment and compliance efficiently.

Our suite of risk adjustment services covers every step—from record retrieval and coding to analytics and encounter submissions. This end-to-end approach equips health plans with the tools and expertise they need to thrive. Not only do we boost efficiency, but we also deliver results that positively impact member health.

See Our Proven Results

For example, one Blue Cross plan achieved 99% coding quality after partnering with Episource. This reflects our commitment to accuracy and excellence. Our case study reveals how this collaboration set new standards for coding and documentation. These success stories highlight why Episource is a top choice for health plans aiming to optimize risk adjustment.

Ready to learn more? Check out our case study and infographic to see how Episource’s solutions can transform your organization.

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