CMS' Encounter Data System (EDS) contains far more data and is more complicated than the former RAPs system. This volume and complexity results in more opportunity for errors, exceptions and rejects of submitted diagnosis codes. Reveleer has developed our EDS Solution for Medicare Advantage plans to manage the risk adjustment process. The ultimate goal of a Medicare Advantage Plan is to remain compliant. The nature of EDS means it is more important than ever to closely watch data sent to CMS and have a clear method of managing the entire process to reach that goal, during parallel submission and beyond.
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