EPIENCOUNTER

ERROR MANAGEMENT AND FINANCIAL ANALYTICS

A single platform and one data stream for Encounter data error management and financial analytics in both RAPS and EDPS.

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OVERVIEW

Identify errors, and prioritize rejections by HCC and financial impact.

Submit encounter data and handle CMS processing, transformation, and edits, including submission, matching, and processing of supplemental data. By automating the receiving and processing of CMS responses to claim transactions, users can manage and resolve errors by category and type.

Benefit from filtering encounter errors at the HCC level to be worked first. Access a robust reporting engine that provides analysis and reporting of EDPS and RAPS comparable outcomes to enable HCC reconciliation between both submissions.

BENEFITS

Ensure accurate, complete and compliant encounter submissions with a one-stop tool for error management, reconciliation, and financial analytics

Streamline reconciliation of RAPS with Encounter Data, identifying missing HCCs, and inaccuracies in either format

Robust segmentation capacities allow you to identify and prioritize errors with the highest HCC impact

Obtain visibility into summary level dashboards showing total financial impact at the plan level

EDPS and RAPS filtering of CMS EDS results with filter criteria edits easily configured by payer

Analysis and reporting of EDPS and RAPS comparable outcomes to enable HCC reconciliation between both submissions

In-app guides for quick error queue correction

KEY FEATURES

Claims File Submissions – View the history of all submissions to CMS to identify and process specific responses.
Encounter Management – Prioritize submission errors and assign error work queues by priority, with an intuitive auto-assignment feature
Error Resolution – Guided resolution of error correction is provided for errors identified by CMS.
Reporting & Analytics – Error management overview of RAPS and Encounter Data Submissions to CMS. Provides detailed, accurate, and actionable insights to CMS response files for both RAPS and EDPS.
Claims File Submissions – View the history of all submissions to CMS to identify and process specific responses.
Encounter Management – Prioritize submission errors and assign error work queues by priority, with an intuitive auto-assignment feature
Error Resolution – Guided resolution of error correction is provided for errors identified by CMS.
Reporting & Analytics – Error management overview of RAPS and Encounter Data Submissions to CMS. Provides detailed, accurate, and actionable insights to CMS response files for both RAPS and EDPS.