Consolidate and scale across all managed care programs.
Health plans must embrace encounters (and risk adjustment analytics) as crucial components of their revenue streams in order to secure revenue integrity for government and commercial programs. Unfortunately, many plans suffer from increased encounter lifecycle costs and lost revenue due to the use of disparate, siloed systems. Overcoming these challenges requires a consolidated encounter management and risk adjustment system for all programs and lines of business.
Deliver a consolidated encounter lifecycle management system for all government and commercial programs.
Drive accurate and actionable risk adjustment analytics and revenue forecasting.
Ensure accuracy, completeness and timeliness of CMS and state-based encounter submissions.