Simplify Encounter Submissions for Government Programs
Veradigm Comprehensive Submissions offers a scalable, flexible, and integrated solution to streamline and improve submissions and vendor management for various government-sponsored programs such as Medicare Advantage, Managed Medicaid, (S)CHIP, ACA/EDGE, and All Payer Claims Database (APCD). By providing a 360-degree view of data throughout the submission lifecycle, the platform ensures easy source data reconciliation. This comprehensive solution validates 100% of submission data before submission, helping users get paid accurately the first time. Additionally, it assigns HCCs and determines risk-eligibility, allowing users to prioritize error correction and submissions based on projected risk revenue impact.
Complete Control and Transparency in Encounter Submission
Veradigm Comprehensive Submissions empowers risk adjustment teams by putting control of the encounter submission process in their hands. The platform ensures full transparency by enabling users to manage work, error correction, and production control effectively. With a multi-program interface and user-friendly dashboards, users can access real-time data and gain valuable insights into financial and administrative intelligence. The solution offers self-reliance for risk adjustment teams, allowing submission and error correction on their schedule, resulting in increased acceptance rates and reduced legwork.
Optimizing Revenue Potential with Data Visibility
Through Veradigm Comprehensive Submissions, users can track and monitor the status of all encounters accurately. The platform provides insight into the risk impact and revenue potential of encounters, identifying areas of revenue opportunity to maximize revenue. By integrating with Risk Adjustment and Analytics products, users can monitor and manage risk adjustment revenue against budgeted gap closures and KPIs effectively. This early visibility empowers users to make informed business decisions throughout the submission process.
Efficient Encounter Submission Process for Maximum Revenue
Veradigm Comprehensive Submissions offers a fully managed, cloud-based encounter data management platform that simplifies the submission process and ensures complete, accurate, and compliant encounters. By using an innovative ETL tool that pre-validates 100% of submission data, users can ensure accurate and timely reimbursement from government-sponsored programs. The platform is CMS-approved and HIPAA compliant, offering a secure environment for managing encounter data and reducing the risk of revenue leakage.
Ensuring Data Accuracy and Compliance
Veradigm Comprehensive Submissions validates all data pre-submission based on CMS and state requirements, ensuring completeness, accuracy, and compliance. The platform allows users to easily fix errors before and after submission, facilitating proper reimbursement. With compatibility with all chart vendors and input file types, the solution is easy to adopt and works seamlessly across various data formats. Full auditing and versioning features provide additional control and visibility into the submission process.