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Episource is reinventing the way healthcare organizations manage their risk adjustment programs. From risk adjustment analytics, retrospective chart reviews, in-home assessments, EDPS submissions and quality reporting, we empower some of the most recognizable names in healthcare. With elegantly simple solutions, Episource helps payers navigate the chaos of the healthcare system to simplify healthcare.

Advantmed is a healthcare solutions company dedicated to helping health plans, provider groups, and risk-bearing entities optimize revenue and improve quality outcomes. We achieve industry leading results through a suite of integrated prospective and retrospective solutions that support Medicare, Commercial, and Medicaid populations. Our solutions include:
• Health Assessments (virtual and in-home)
• Risk Adjustment Analytics
• Medical Record Retrieval
• Risk Adjustment Coding
• Second Level Coding Review
• Claims and Data Validation
• Clinical Abstraction
• NCQA-certified HEDIS measure software (certified since 2007)
• Provider Portal
For more information, visit www.advantmed.com or email marketing@advantmed.com.

Datavant and Ciox are now Datavant, the leader in data logistics for healthcare. Datavant protects, connects, and delivers the world’s most precious data. As the leader in data logistics for healthcare, we enable organizations to achieve their boldest ambitions and advance human health.

Greater Good Health is committed to enabling and expanding access to holistic, value-based care. Our integrated clinical services extend the reach of risk-bearing organizations via programs focused on reducing total cost of care, improving outcomes, and addressing social determinants of health. For more information, visit www.greatergoodhealth.com.

Biomedix features a range of diagnostic device technologies designed for point-of-care testing for prospective risk assessments and closing HEDIS measures. All technologies automatically sync results to a web-based population health management tool called Biomedix Xchange.

Our portfolio of diagnostic capabilities include:
1. Peripheral Artery Disease detection with our PADnet Xpress
2. Diabetic retinopathy screening with the IRIS platform
3. Osteoporosis screening with the BeamMed MiniOmni
4. Peripheral neuropathy detection with the NeuroMetrix DPNCheck
5. COPD detection with ndd Medical
6. Depression screening
7. Screening for personality disorder
8. Fall risk assessments
9. Social Determinants of Health assessments

Leveraging a history of more than 1 million peripheral vascular disease tests and artificial intelligence technology, we offer PADnet Xpress, the fastest and most accurate way to diagnose peripheral vascular disease. For more information, visit biomedix.com.

Pareto Intelligence is an analytics and technology solutions company that supports healthcare plans and providers with revenue, cost, quality, and risk adjustment payment models. Pareto was forged to help our clients navigate the most dynamic and critical times in healthcare, and we continue to bring innovative solutions to meet unmet market needs. Pareto acts as a trusted partner, helping clients make key decisions with big data analytics, easy-to-use technology, and expert advisory support. Our award winning suite of technology solutions and services help our clients harness the power of data science and develop actionable insights. We show you what to do with the insights you've acquired and give you direction for tomorrow. Pareto Intelligence was launched by HealthScape Advisors, a management consulting firm with decades of experience in the business of healthcare.

We combine the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. For more information, visit www.helloporter.com.

Wolters Kluwer provides trusted clinical technology and evidence-based solutions that engage clinicians, patients, researchers, and the next generation of healthcare providers. With a focus on clinical effectiveness, research and learning, clinical surveillance and compliance, as well as data solutions, our proven solutions drive effective decision-making and consistent outcomes across the continuum of care.

Annova Solutions, a technology-driven, human-in-the-loop, BPM 4.0 company, serves as a strategic operations partner, delivering continuous ROI for clients. Specializing in top-tier Risk Adjustment Coding solutions like CMS-HCC, HHS, Medicaid CDPS, and HEDIS measures, the company ensures HIPAA compliance through efficient processes and dedicated teams. With leadership boasting 150+ years of healthcare experience, access to a talent pool of 20,000+ graduates, a robust operational framework, and AI-enabled capacity management, Annova has achieved an impressive 100% year-over-year growth for the past four years.

Apixio is advancing healthcare with data-driven intelligence and analytics. Our artificial intelligence platform for value-based care gives organizations across the healthcare spectrum the power to mine clinical information at scale, creating novel insights that will change the way healthcare is measured, care is delivered, and discoveries are made. Learn more at apixio.com.

Centauri Health Solutions works with healthcare payors and providers to improve the lives of their members and patients through compassionate outreach, sophisticated analytics, and data-driven solutions, including risk adjustment, eligibility & enrollment (Duals, SSI/SSDI), clinical data exchange, and quality program support . Our reimbursement-focused services and unparalleled expertise lead to more accurate payment rates, a reduction in uncompensated care, and quality measurement compliance.

With more than 35 years of experience helping members enroll in government-funded assistance programs, we understand that your members’ health extends beyond their medical care. That’s why our Social Determinants of Health program proactively pinpoints gaps in resources and connects members with health-enhancing programs in their communities.

Centauri is charting a new path in healthcare with power to solve and passion to serve.

Cognisight has been partnering with healthcare payers and providers to deliver high quality risk adjustment solutions since 2006. With more than 100 clients in over 40 states, we continue to lead the industry through collaboration, quality, and transparency with a strong focus on providing unparalleled service. Whether you’re looking for a full-service partner or a single solution, Cognisight is a risk adjustment partner you can trust. (877) 271-1657 | Cognisight.com | info@Cognisight.com

CoventBridge Group has more than 25 years of experience in the identification, prevention and investigation of fraud, waste, and abuse for our customers across the healthcare, insurance, financial and government markets with a proven track record of implementing and managing the largest programs in industry.

With a national employee investigator network and expertise in Medicare and Medicaid, CoventBridge Group has a singular focus in service offerings to fight fraud, waste and abuse.  

Some service offerings include:

Program Management

• Audits & Assessments
• Compliance Assessment
• Medicare & Medicaid FWA
• On-site Audits
• Vendor Management

Document Retrieval & Analysis

• Medical Record Retrieval
• Medical Record Review & Coding (RN)
• Investigative Medical Record Review
• Medical & Healthcare Canvassing

Investigative Services

• Healthcare FWA Investigations
• Investigative Reports
• Clinical Surveillance
• Law Enforcement Referrals
• Alive and Well Checks

Staff Augmentation

• Data Analysts
• Investigators
• Nurse Reviewers
• RN Consultants

For more information, visit Health Plan FWA Solutions | CoventBridge

GeBBS Healthcare Solutions is a KLAS rated leading provider of Revenue Cycle Management (RCM) services and Risk Adjustment solutions. GeBBS’ innovative technology, combined with over 15,000+ strong global workforce, helps clients improve financial performance, adhere to compliance, and enhance the patient / member experience. Headquartered in Los Angeles, CA, GeBBS has won numerous accolades for its medical coding outsourcing and medical billing outsourcing, including being ranked in Modern Healthcare’s Top 3 Largest RCM Firms, Black Book Market Research’s Top 10 RCM Outsourcing Services, and Inc. 5000’s fastest growing private companies in the U.S.

For more information, Health Plans and Risk Bearing Providers (RBP) should visit https://www.gebbs.com.

Want to improve Risk Adjustment coding speed and accuracy, minimize risk of coding errors, and boost productivity and efficiency? Consider HCC Coder™ - the only software available for Risk Adjustment coding that was built from the ground up by medical coders, for medical coders. HCC Coder boosts productivity and efficiency using an interface that is intuitive; one that has been refined to move step-by-step along with your coding/auditing process. It’s packed with all of the content you need and eliminates everything else. You won’t have to wade through irrelevant information to find the Hierarchical Condition Category codes most relevant to your work.

Milliman is among the world’s largest providers of actuarial, risk management, and related technology and data solutions. Our consulting and advanced analytics capabilities encompass healthcare, property and casualty insurance, life insurance and financial services, and employee benefits.

With more than 4,500 employees and revenue of US$1.28 billion in 2020, the firm serves the full spectrum of business, financial, government, union, education, and nonprofit organizations.

Founded in 1947, Milliman today has offices in principal cities worldwide, covering markets in North America, Latin America, Europe, Asia and the Pacific, the Middle East, and Africa.

Optum is a leading information and technology-enabled health services business dedicated to helping make the health system work better for everyone. With more than 215,000 people worldwide, Optum delivers intelligent, integrated solutions that help to modernize the health system and improve overall population health. For more information, visit optum.com/risk.

Persivia Inc. is dedicated to a transformative mission, aiding healthcare providers and payers in the shift from the traditional Fee-For-Service model to Value-Based Care (VBC). The Persivia CareSpace® Platform, stands out as an integrated, AI-driven solution tailored to support all VBC models and care venues. CareSpace® merges clinical, socioeconomic, claims and other data from multiple sources to provide a single comprehensive picture that puts the patient at the center of care. It offers advanced analytics, real-time clinical decision support, and valuable insights at the point of care to help improve care quality and reduce costs. CareSpace® offers a comprehensive view of both individual patients and broader populations, ensuring personalized and cost-effective management.

At the core of our capability lies our expertise in using Artificial Intelligence to provide Care Management, Risk Adjustment, STARS Management, Cost and Utilization Management and Risk Stratification capabilities. The foundations of Persivia Inc. are deeply rooted in over a decade and a half of experience in developing and launching an AI-centric Population Health Management platform. Today, we proudly support care, quality, cost and risk management initiatives in over 200 hospitals, with a user base of 12,000 clinicians 

Founded in 2015, Persivia Inc. is headquartered in Marlborough, Massachusetts,