EMSI Healthcare Services provides comprehensive information and support services to meet the unique needs of healthcare organizations. Our solutions are flexible and effective to maximize revenue, optimize workflows and deliver thorough results. We have the experience, scalability, technology and resources to provide the exact solution you need when you need it.

From prospective review services that provide a complete picture of a Medicare Advantage plan member’s health status to retrospective review services that uncover complete diagnoses, EMSI offers solutions for both to ensure proper risk factor identification.

With our Home Visit Services, we perform mobile medical examinations for Medicare Advantage plan members to review health conditions, including those that may previously have been unidentified.

Our Medical Chart Review Services support retrospective review initiatives by gathering all applicable medical records on members to support accurate diagnoses and audit reporting.

EMSI‘s end-to-end prospective review Home Visit Services provides Medicare Advantage plans with specific documentation on members’ health diagnoses and conditions as classified within the Centers for Medicare and Medicaid Services (CMS) HCC system. From initial member contact and provider network development, to member support and evaluation data delivery, we handle the entire process from start to finish. EMSI’s world-class national network of mobile medical providers meets your in-home medical evaluation needs.

Our Home Visit Services provide you with:

• A full annual review of co-morbid conditions, including those previously unidentified.
• Insight into possible social issues with the member, which otherwise may go undetected.
• Medical details from an objective source outside the primary care physician.
• Early detection of ailments contributing to lower costs for treatment.

Our call center has the experience, technology and training to initiate member contact, efficiently schedule the medical evaluation and complete the health evaluation assessment with full client customization.

Securing all member medical records is essential to successful retrospective review initiatives. EMSI is the undisputed leader in medical record collection with over 35 years of experience and as the largest provider of medical record retrieval services in the industry.

EMSI offers complete, detailed chart collection to capture diagnoses and treatments for the most accurate HCC coding and CMS reimbursement, as well as compliance with RADV and OIG audits. With our expertise and targeted approach, we manage large record collection projects through our centralized call center while ensuring quality standards and specific timelines. We can handle the details of a full range of requirements, including:

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

EMSI can supply you with consistent, national handling of medical chart retrieval services for optimal quality, efficiency, affordability and the most appropriate CMS reimbursement.