Directories

Health Risk Partners Receives Certification For CMS Encounter Data System Front-End Testing Well Ahead Of Mandatory Deadline

2012-01-05

RICHMOND, Va. ---- Health Risk Partners (HRP), the Revenue Integrity Division of Verisk Health and a leading provider of healthcare risk adjustment services, announced it received certification from the Centers for Medicare and Medicaid Services (CMS) for successful completion of the Encounter Data System Front-End Testing. The new Encounter Data Processing System supports CMS’s rapidly evolving role in the delivery, management, and payment of healthcare services. CMS is requiring certification for the submission of Medicare Advantage plan encounter data, scheduled to begin today, January 4, with CMS End-To-End testing followed by production data submission.

As of December 2011, HRP has received CMS certifications for more health plans than any other third-party submitter.

“Health Risk Partners was certified on the first day that CMS began the new Encounter Data System Front-End Testing certification process, which demonstrates HRP’s institutional knowledge and market expertise, as well as our ability to put our clients’ interest and needs at the forefront,” said Jamie Wells, chief operating officer at Health Risk Partners. “We have significant experience working closely with CMS and in building custom processes that are compliant with CMS requirements, so our clients are confident and secure in knowing revenue is not being put at risk. Further, we believe our clients will maintain a competitive edge while we add value to the integrity of the data submitted to CMS to drive its reimbursement programs for the future.”

HRP leverages its risk adjustment and data management expertise to provide a comprehensive solution to support health plans with EDS submissions and revenue management. The HRP solution goes well beyond providing the mandated HIPAA-compliant (X12 5010 837 I, P) electronic data interchange. HRP’s integrated solution, featuring ReconEdge™ EDSQ, also includes high-quality automated data editing and cleansing, an automated system for exception management, and robust analytical reporting — all to help health plans operate cost-effectively while managing revenue risk.

About Health Risk Partners

Health Risk Partners (HRP), the Revenue Integrity Division of Verisk Health, is a leading healthcare technology firm and provider of risk adjustment services. The HRP team has extensive experience working with federal and state healthcare payment methodologies and transforming them into solid business practices for Medicare and Medicaid health plans. HRP is dedicated to helping its clients attain the highest levels of compliance, profitability, and strategic planning. Verisk Health is a subsidiary of Verisk Analytics (Nasdaq:VRSK).

Related Downloads

WCFStorm 1.1.1

Do you find testing WCF services too difficult?
Have you tried other commercial tools that are WCF-compatible but in the end insists that you use basicHttpBinding?
Is your project over budget because testing your WCF service takes too much...

EXFO EX-Vu RTU-310 Product Pack 1.7

The RTU-310 IP Services Test Head is a powerful 24/7 network testing solution for IPTV and Ethernet services.

Main features:

- High-performance probe hardware supporting hundreds of simultaneous services
- Real-time...

Investor/RT

Investor/RT 10.4

State-of-the-art tool kit for the online investor. It provides powerful market monitoring, scanning, back testing, scheduling, data capture, charting, technical analysis, and portfolio management features for users of a wide variety of real-time,...

XeVoice

XeVoice 4.0

XeVoice Communications is a fully featured Voice Over IP (VoIP) services and solutions providing company, facilitating the end user to make easy and cheap calls to all over the world. We are providing many services e.g. Pc to Phone Call Back... etc....

PureLoad - The load testing tool 1.0

PureLoad is a load testing tool that dynamically simulates thousands of users executing requests against server based applications.

Use PureLoad to verify performance and stability of your server applications and telecom services.

RSJM

RSJM 1.1

The Reporting Services Job Monitor (RSJM) allows you to monitor the status of long running reports in Microsoft Reporting Services or just see who is looking at what reports in real time.

Long running reports (anything more than about 10...

SOAPSonar Personal Edition 5.5

It is the premier service testing and diagnostics solution in the industry. It provides simple, intuitive, and comprehensive testing for SOAP, XML, and REST based services over HTTP, HTTPs, MQ, and JMS protocols. The testing framework is easy to...

App Launcher 3.1

AppLauncher is a cost effective add-ons to Terminal Services found in Windows 2000 Server and .NET Server. AppLauncherTM is a program that allows you to deploy more than one application through Terminal Services without the confusion, overhead, or...

Oracle Application Testing Suite 9.3

Application Testing Suite is a comprehensive, integrated testing solution that ensures the quality, scalability, and availability of your Web applications, Web Services, packaged Oracle Applications and Oracle databases.

This...

ManageEngine QEngine 7.0

ManageEngine QEngine is an Automated Testing Tool for Functional Testing,Performance Testing,Load Testing,Stress Testing,Web Services Testing,Server Performance Monitoring & Regression Testing to run tests from command line for all test types....