Ensuring accuracy of risk-adjusted revenue data and remaining compliant with submissions-related encounter guidelines are common challenges for managed care plans. And if that’s not enough, managed care plans also have to navigate frequent changes to regulatory requirements, state-specific nuances, and the complexities of using multiple submission systems.
Edifecs Encounter Submissions is a best-in-class SaaS-based solution designed to help plans overcome these challenges. Our solution utilizes AI-enabled coding and analytics to break down encounter operations silos, support submission accuracy, and ensure compliance across all managed care lines of business.
Managing Multiple Vendors is a Headache. Edifecs is the Cure.
Find out how we can help you streamline your encounter submissions.
Maximize data quality and accuracy for more effective submission operations.
Ensure accurate payments for submitted encounters.
Enable automatic, ongoing compliance with CMS and state requirements.
