• COMPLETE, ACCURATE, AND COMPLIANT

    ENSURE THAT YOUR ORGANIZATION DOES NOT LOSE OUT ON REVENUE DUE TO INEFFECTIVE ENCOUNTER DATA MANAGEMENT. EDRS PROVIDES PLANS WITH DEEP EXPERTISE IN THE ENCOUNTER DATA MANAGEMENT SPACE AND CAN HELP YOU BE CONFIDENT IN THE DATA YOUR PLAN PROVIDES TO THE AGENCIES WITH WHICH YOU WORK.

  • EMPOWERING HEALTH PLANS

    EDRS PROVIDES MORE THAN SHORT TERM SUPPORT TO HELP IMPROVE YOUR ENCOUNTER DATA MANAGEMENT , WE PROVIDE YOU THE KNOWLEDGE AND TOOLS THAT ALLOW FOR ONGOING SUCCESS.
  • BUILDING BEST-IN-CLASS ENCOUNTER MANAGEMENT PRACTICES

    THE EDRS ENCOUNTER DATA MANAGEMENT OPERATING MODEL GOES BEYOND THE SUBMISSION OF ENCOUNTER DATA, IT BUILDS A SOLUTION THAT INCLUDES ALL NECESSARY BUSINESS UNITS. BY ALIGNING TEAMS FROM THE FRONT END CLAIMS INTAKE, ALL THE WAY TO ENCOUNTER SUBMISSION, ACCEPTANCE RATES CAN BE DRAMATICALLY IMPROVED.

Encounter Data Management Operating Model

Our Encounter Data Management Operating Model is a comprehensive roadmap to building a best-in-class encounter data management practice. Within this model all aspects of encounter data management are covered: Encounter Analytics - Data Control Guides - Encounter Management Associate Skills - Financial Reconciliations - Organizational Alignment - Effective Interactions with State and Federal Agencies The result will be a sustainable ongoing encounter data management practice that you can trust to provide the highest quality encounter reporting.

​THE ENCOUNTER DATA MANAGEMENT OPERATING MODEL

The EDRS Encounter Data Management Operating Model provides the road map for our engagements and is flexible enough to meet your unique needs.


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UNDERSTANDING WHAT YOUR ENCOUNTER DATA IS SHOWING YOUR CUSTOMERS

Encounter Data are used for a myriad of measures performed by state and federal agencies. But what are your encounter data saying?


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Understanding your encounter data

Are your Encounter Data reflective of your true medical costs? Are all diagnosis codes being sent appropriately? Are you missing out on OB kick payments? Can your data be trusted to create actuarially sound rates? If you cannot answer these or many similar questions in a positive way, it is critical that you gain insight into your encounter data. EDRS can help you understand what your encounter data are showing your customers. Our Encounter Analytics will uncover any current deficiencies in your data. We perform a complete element by element check of the data that you submit, and we reconcile your submitted and accepted data to other financial reports such as Claim Lags and Provider Payments. We can help you find the value you have been missing from your encounter data.