Medical Chart Retrieval

EMSI Health is the leader in medical record collection with over 40 years of experience.
We are the largest provider of medical record retrieval services in the industry.

Securing members’ medical records is essential to your successful retrospective review initiatives.  The Centers for Medicare and Medicaid Services (CMS) reimburse health plans based on a standard bidding process for the average member. However, if a member is risk-adjusted for chronic illness, the plan is reimbursed at a higher rate and may even be eligible to receive retroactive, back payments. Retrospective risk adjustment is a smart investment in the long-term performance of your health plan.

Medical Chart Retrieval

Why EMSI Health
With a tradition of excellence built over more than 40 years, EMSI Health is the leading provider of Medical Record Retrieval Services, as well as the largest in the industry.  Our robust operational framework and extensive expertise in medical retrieval services have positioned us to successfully leverage our scalable capacity, provider relationships and technology to deliver complete medical records quickly and efficiently.  Our mission to drive improved outcomes for our clients through the delivery of powerful information guides every transaction and interaction conducted, each and every day. 

How It Works 

EMSI Health offers a unique blend of centralized and onsite chart collection processes that can easily be tailored to your specific requirements.  Clients can choose between two options: 

  1. Records are scanned by providers and sent electronically to a centralized location.
  2. EMSI Health dispatches a team of expert chart specialists onsite to a provider's office to collect all required charts.

Both options offer complete, detailed chart collection that captures diagnoses and treatments for the most accurate HCC coding for retrospective risk adjustment and compliance with HEDIS, IVA and RADV requirements.

Our expertise and targeted approach enable us to manage large record collection projects through our centralized call center.  Our capabilities include exceptional management of all requirements, complete with full compliance with quality standards and adherence to specific timelines.  We offer the following services:

  • Provider verification, including signature and specialty credentials
  • Provider address and contact information
  • Patient’s name and identity
  • Dates of treatment or services
  • Medical record fee reimbursement management
  • Image quality and indexing specifications

Our clients across the nation benefit from consistent, efficient, affordable chart-retrieval services designed to achieve accurate, appropriate CMS reimbursement.  

Learn more about our services today

Medical Record Retrieval Services for the Health Insurance Marketplace

With a tradition of excellence built over more than 40 years, EMSI Health is the leading provider of Medical Record Retrieval Services, as well as the largest in the industry.  Our robust operational framework and extensive expertise in medical retrieval services have positioned us to successfully leverage our scalable capacity, provider relationships and technology to deliver complete medical records quickly and efficiently.  Our mission to drive improved outcomes for our clients through the delivery of powerful information guides every transaction and interaction conducted, each and every day. 

We offer the highest percentage of records retrieved within the shortest timeframe.

Contact us today to learn more about how we can help you become successful in the Health Insurance Marketplace.