This Day On The Street
Continue to site right-arrow
ADVERTISEMENT
This account is pending registration confirmation. Please click on the link within the confirmation email previously sent you to complete registration.
Need a new registration confirmation email? Click here
TheStreet Open House

Health Risk Partners Receives Certification For CMS Encounter Data System Front-End Testing Well Ahead Of Mandatory Deadline

Health Risk Partners (HRP), the Revenue Integrity Division of Verisk Health and a leading provider of healthcare risk adjustment services, announced it received certification from the Centers for Medicare and Medicaid Services (CMS) for successful completion of the Encounter Data System Front-End Testing. The new Encounter Data Processing System supports CMS’s rapidly evolving role in the delivery, management, and payment of healthcare services. CMS is requiring certification for the submission of Medicare Advantage plan encounter data, scheduled to begin today, January 4, with CMS End-To-End testing followed by production data submission.

As of December 2011, HRP has received CMS certifications for more health plans than any other third-party submitter.

“Health Risk Partners was certified on the first day that CMS began the new Encounter Data System Front-End Testing certification process, which demonstrates HRP’s institutional knowledge and market expertise, as well as our ability to put our clients’ interest and needs at the forefront,” said Jamie Wells, chief operating officer at Health Risk Partners. “We have significant experience working closely with CMS and in building custom processes that are compliant with CMS requirements, so our clients are confident and secure in knowing revenue is not being put at risk. Further, we believe our clients will maintain a competitive edge while we add value to the integrity of the data submitted to CMS to drive its reimbursement programs for the future.”

HRP leverages its risk adjustment and data management expertise to provide a comprehensive solution to support health plans with EDS submissions and revenue management. The HRP solution goes well beyond providing the mandated HIPAA-compliant (X12 5010 837 I, P) electronic data interchange. HRP’s integrated solution, featuring ReconEdge™ EDSQ, also includes high-quality automated data editing and cleansing, an automated system for exception management, and robust analytical reporting — all to help health plans operate cost-effectively while managing revenue risk.

1 of 2

Check Out Our Best Services for Investors

Action Alerts PLUS

Portfolio Manager Jim Cramer and Director of Research Jack Mohr reveal their investment tactics while giving advanced notice before every trade.

Product Features:
  • $2.5+ million portfolio
  • Large-cap and dividend focus
  • Intraday trade alerts from Cramer
Quant Ratings

Access the tool that DOMINATES the Russell 2000 and the S&P 500.

Product Features:
  • Buy, hold, or sell recommendations for over 4,300 stocks
  • Unlimited research reports on your favorite stocks
  • A custom stock screener
Stocks Under $10

David Peltier uncovers low dollar stocks with serious upside potential that are flying under Wall Street's radar.

Product Features:
  • Model portfolio
  • Stocks trading below $10
  • Intraday trade alerts
14-Days Free
Try it NOW
Only $9.95
Try it NOW
14-Days Free
Try it NOW

Check Out Our Best Services for Investors

Dividend Stock Advisor

David Peltier identifies the best of breed dividend stocks that will pay a reliable AND significant income stream.

Product Features:
  • Diversified model portfolio of dividend stocks
  • Updates with exact steps to take - BUY, HOLD, SELL
Trifecta Stocks

Every recommendation goes through 3 layers of intense scrutiny—quantitative, fundamental and technical analysis—to maximize profit potential and minimize risk.

Product Features:
  • Model Portfolio
  • Intra Day Trade alerts
  • Access to Quant Ratings
Options Profits

Our options trading pros provide over 100 monthly option trading ideas and strategies to help you become a well-seasoned trader.

Product Features:
  • Actionable options commentary and news
  • Real-time trading community
Try it NOW
Try it NOW
Try it NOW
To begin commenting right away, you can log in below using your Disqus, Facebook, Twitter, OpenID or Yahoo login credentials. Alternatively, you can post a comment as a "guest" just by entering an email address. Your use of the commenting tool is subject to multiple terms of service/use and privacy policies - see here for more details.
Submit an article to us!
SYM TRADE IT LAST %CHG

Markets

DOW 17,712.66 +34.43 0.19%
S&P 500 2,061.02 +4.87 0.24%
NASDAQ 4,891.2190 +27.8570 0.57%

Partners Compare Online Brokers

Free Reports

Free Newsletters from TheStreet

My Subscriptions:

After the Bell

Before the Bell

Booyah! Newsletter

Midday Bell

TheStreet Top 10 Stories

Winners & Losers

Register for Newsletters
Top Rated Stocks Top Rated Funds Top Rated ETFs