EPIENCOUNTER

FACILITATING DATA SUBMISSION AND MANAGEMENT

Introducing epiEncounter - a single platform and one data stream to manage parallel processing of encounter data in both RAPS and EDPS formats.

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OVERVIEW

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

Leveraging of technology to identify data gaps and revenue opportunities

Automated management and tracking of accepted and rejected transactions from CMS

Support of parallel EDPS and RAPS processing

Transparency in EDPS operations management through canned and ad-hoc reports

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.