Identify errors with our encounter data management tool
and prioritize rejections by HCC and financial impact

ENCOUNTER DATA ERROR
RESOLUTION AND FINANCIAL PLANNING

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

Streamline reconciliation of RAPS with encounter data management, identifying missing HCCs, and inaccuracies in either format.

Compare RAPS vs MAO-002 vs MAO-004 to ensure acceptance and proper calculation of risk scores and payment by CMS.

Automate the receiving and processing of CMS responses to encounter data – TA1, 999, and 277CA.

Use our encounter data management tool as a cloud-based SaaS application or fully outsourced submission service.

Manage RAPS and EDS submissions, and matching and processing of supplemental data.

Encounter Data Management
Features

FILE
SUBMISSIONS

01

Benefit from parallel encounter data processing, submit one file for both RAPS and EDS formats.

ENCOUNTER
STATUS

02

View the status of encounter data submissions, error types, and categories. Ensure submission accuracy by gaining visibility into error rejection rate for timely resolution.

ERROR
SOLUTION

03

Identify errors before encounter data submission, prioritize errors with the highest financial impact, and resolve them - all in one single tool.

FINANCIAL
PROJECTIONS

04

Be confident in your sweeps payment predictions with accurate estimates for both RAPS and EDS submissions.

View final payments, average monthly risk adjusted PMPM, revenue forecasts, and more.

Accurately assess that last push for chart review, the re-submission of EDS data, and the deletion of submission mistakes to ensure accurate cash flow projections.

CASH FLOW PROJECTIONS

Accurately project mid-year and final sweeps payments for both Risk Adjustment Processing System (RAPS) and Encounter Data System (EDS) submissions. Retrospective sweeps payments can account for 5-10% of a plan’s total revenue in Medicare.

BID DATA NEEDS

Poor assessments of the last push for chart review, the re-submissions of EDS data, or the deletions of a submission mistake often do not make an impact until months after the bid is due. Our accurate financial forecasting tool helps fix those mistakes before they become significant issues.

FINANCIAL FORECASTING & ACCRUALS TOOL

Auditors and CFOs want to accrue future revenue with a high level of accuracy. epiEncounter’s sweeps payment projections and financial forecasting tools make it easy to maintain prediction accuracy.

Get Started with epiEncounter

BENEFITS

Transform your encounter data management with highly configurable
error resolution and financial analytics

Simple encounter data management enables you to review and resolve errors by category and type all in one place

Obtain visibility into summary level dashboards showing total financial segmentation capabilities, which allow you to identify and prioritize encounter data errors with the highest HCC impact

Increase accuracy with front-end automated data quality management-editing, cleansing, transformation, and de-duping

Gain greater transparency and speed in operations management through ready-to-use ad hoc reports

Access RAPS filtering of CMS-EDS results with filter criteria that is easily configured by payer

Access real-time tracking of encounter data submissions and status

ENCOUNTER DATA ERROR RESOLUTION AND FINANCIAL PLANNING

Encounter Data ManagementFeatures

FILE SUBMISSIONS 01

ENCOUNTER STATUS 02

ERROR SOLUTION 03

FINANCIAL PROJECTIONS 04