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RAPS/EDPS Submissions Management

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RAPS/EDPS Submissions Management

Ensure Your Data is Submission Ready

Advantasure’s RAPS/EDPS Submission Management solution streamlines operations and manages submissions to CMS, minimizing errors and delays.

Timely reimbursements from CMS are crucial in maintaining accurate budgets and cash-flow projections for health plans. Regular delays and inconsistencies can result in your revenue not being where you thought it would be, when you thought it would be there; and additional time and energy spent to figure out what went wrong and correct it. It is vital that your plan focuses the resources needed to ensure your RAPS/EDPS submissions are accurate. With a strong understanding of that process, Advantasure’s proven service manages data and processes to provide health plans an accurate, complete submission resulting in greater risk score accuracy.

Management of the Submission Process

Advantasure’s submission management program goes beyond executing encounter processing, data mapping and submission file generation. Leveraging our RAPS/EDPS Submissions technology solution, we perform applicable filtering and de-duplication according to CMS submissions guidelines. Our solution allows your plan to focus your energy on growing your business, and keeping overhead costs low, while we manage and monitor the submission processes.

Real-Time Intelligence from Your Data

Our process is designed to make the submission process as easy as possible. We correct errors and work with clients to make systematic corrections to avoid errors in future submissions files.

Features

  • Seamless intake of client-supplied, and supplemental data (IHA, chart reviews, etc.)
  • Format client claims and encounters into CMS-required EDPS and RAPS submissions
  • Filtering (including de-duplication) of all applicable claims and encounters conforming to CMS regulations
  • CMS/client submission certification
  • Inbound and outbound (submission) file management
  • Submit RAPS and EDPS data according to CMS published guidance

Key Outcomes

  • 98% average RAPS acceptance rate
  • 98% average EDPS acceptance rate
  • Comprehensive reconciliation and performance reports for accurate submission status

Find Out How We Fuel Accelerated Performance

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