Through the application of MedAssurant's Predictive Clinical Insight Systems (PCIS™), thousands of proprietary, clinically-driven algorithms enable the identification of gaps in assessment, documentation and care.

Evidence of unconfirmed diagnosis, worsening disease states, overlooked chronic conditions, procedures, medication prescriptions, diagnostic orders and results, implications of durable medical equipment, V Codes, E Codes, absences of beneficial coding specificity, and coding combinations are but a few examples of categorical analyses that are undertaken by PCIS™ and provided through the ePASS™ suite. Armed with a broad arsenal of data consisting of both CMS-accepted data and an extensive superset of healthcare data analysis results, PCIS™ additionally performs complex, clinically driven chronology analyses to further enable interpretation of disease state progressions, as well as clinical event sequencing and clinical event grouping data – not just at points in time, but rather across pertinent time periods as well.

Beyond patient-driven data impact, ePASS™ further recognizes that individual practitioners and clinical environments are unique. Whereas a health plan's network or employer healthcare delivery platform is often viewed as one whole, in actuality they are constructed of, and highly influenced by, their many constituents – the individual member patients, practitioners, and healthcare facilities. Patient demographics, specialty-dominance, disease catchments, and referral patterns all weigh on differentiating the data results that drive costs and reimbursement under state, commercial, and CMS' risk adjusted models. Additionally, treatment, documentation, and coding styles can vary from practitioner to practitioner, and from practice location to practice location. MedAssurant's PCIS™ insights and ePASS™ solution suite is attentive to these differences. Ultimately, ePASS™ utilizes not only available data provided by its health plan and employer clients, but the context of time, location, and practitioners as well – all with a focus on delivering superior results.