Identify errors in your Encounter Data and prioritize
rejections by HCC and financial impact
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rejections by HCC and financial impact
ENCOUNTER DATA ERROR
RESOLUTION AND FINANCIAL PLANNING
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
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 claim transactions – TA1, 999, and 277CA
Use it as a Cloud based SaaS application or fully outsourced submission service
Manage RAPS and EDPS submissions, and matching and processing of supplemental data
FEATURES
FILE
SUBMISSIONS
01
SUBMISSIONS
Benefit from parallel processing, submit one file for both RAPS and EDPS formats
ENCOUNTER
STATUS
02
STATUS
View the status of submitted encounters, error types, and categories. Ensure submission accuracy by gaining visibility into error rejection rate for timely resolution
ERROR
SOLUTION
03
SOLUTION
Identify errors before submission, prioritize errors with the highest financial impact, and resolve them - all in one single tool
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GET A DEMOBENEFITS
Highly configurable error resolution and financial analytics
Simple interface enables you to manage and resolve errors by
category and type all in one place
Obtain visibility into summary level dashboards showing total financial robust segmenting capabilities allow you to identify and prioritize errors with highest HCC impact
Increase accuracy with a 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-EDPS results with filter criteria that is easily configured by payer
Access real-time tracking of Encounter risk adjustment data submissions and status