EmblemHealth and ConnectiCare partner with Episource to conduct Medicare and NY State of Health (NYSOH)/Access Health CT chart reviews required by the Centers for Medicare & Medicaid Services (CMS).
The purpose of the chart review is to capture proper ICD-10 coding and identify any areas of improvement. Instances of improper coding will be identified during the review and shared with you. Proper coding helps us better serve our members.
If you receive a medical record request from Episource, please follow the instructions and send the requested documentation directly to Episource as required by your participating provider agreement. Medical record requests will occur throughout the year. We appreciate your prompt response to all Episource medical record requests.
