ePASS™ Solution Highlights
- Highly precise functionality identifying material gaps in disease and comorbidity assessment, utilization, safety, follow-up, documentation, and intervention guidelines.
- Granular application of stratification, prioritization, and impact analysis enabling health plans and employers to set meaningful thresholds on gap selection to focus attention and resources on appropriate areas of need and importance.
- Provides practitioners with insight into pertinent patient data on demographics, laboratory orders and results, medications, encounters, past medical history, and risk scores – all in combination with member-specific leading questions to assist in the intelligent arrival at comprehensive assessment, documentation, and intervention.
- Facilitates detailed medical record documentation reflecting questions guided by ePASS™ and answered by practitioners to serve as medical record chart components and audit support records, while also providing advanced claims and related risk score format data for easy submission by health plans, provider organizations, and employers to CMS, state programs, or other payor organizations.
- Integration with leading-edge MedAssurant disease identification and risk adjustment capabilities, facilitating the optimization of care management and risk adjusted reimbursement improvement - enabling a strongly positive ROI.
- Seamless, secure, and HIPAA-compliant data transfer and integration, accommodating client data in their native formats, relieving the need for clients to maintain intensive IT resources and enabling rapid implementation.
- Highly granular reporting, providing health plans, provider organizations, and employers with detailed analysis of utilization, documentation, risk score, and financial performance impact down to the granularity of the patient, practitioner, clinic, hospital, or other population of choosing.
- Deep awareness of NCQA HEDIS, CMS Quality Measurement Systems, risk adjustment models, and other technical specification demands upon the healthcare community - enabling the optimization of such metrics through customized guidance and assessment tool sets.
- Leading-edge, evidence-based guidelines and standards of care for intervention within a wide array of disease and comorbidity arenas developed by nurses, certified coders, board-certified internal medicine and clinical specialist practitioners.
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