EDPS (Encounter Data Processing System) ensures 100% compliance in encounter
data submission to CMS while automating most of the manual processes.
Features
- Maps customer claims format 5010 loops / segments
- Will utilize clients' claims platform format, produces HIPAA 5010 X12
claims encounter
- Uses multiple levels of CMS - MA specific edits / logic to meet CMS
regulatory mandates
- User interface provides encounter management
- Provides all encounter statuses
- Reject analysis summary provides reason and error correction
capabilities
- Data storage for all inbound and outbound claims data, files and standard
reports
- Configurable for MMPs/Duals
Benefits
- Reduced total cost
- CMS compliance
- Improved operational efficiencies
- Enables deletion and resubmission corrections on select records /
encounters
- Ensures more efficiency and flexibility
