Ongoing changes from CMS for their Health Insurance Marketplace EDGE server submissions require health plans to have the expertise and/or resource capacity to manage the ensuing data, error corrections, and software updates. For many plans, finding the right vendor with experience in ensuring accurate, complete, and timely submission of encounter data is critical for risk score accuracy. SS&C Health has over 10 years of encounter submission experience for all government lines of business, including ACA Marketplace, Medicare Advantage, and Medicaid.Our customizable solution includes full business process outsourcing, on premise EDGE server management, including ongoing CMS commands and software updates, and a client-facing reporting portal providing over 40 EDGE Server reports.Download our timeline to stay on track with monthly activities to ensure compliance with CMS submission guidance and ensure successful risk adjustment submissions. Contact us today for more information on how an experienced vendor can make a difference.
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