Verisk Health announced today that it has received certification from the Centers for Medicare and Medicaid Services (CMS) for the processing of institutional encounter data for all Verisk Health clients that have completed EDS (Encounter Data System) implementation.
The company previously achieved Front-End Certification on the first day that CMS began the new Encounter Data System Front-End Testing certification process, and all Verisk Health clients have received Professional End-To-End Certification as well.
“We continue to work closely with CMS to ensure our custom processes are compliant with CMS requirements and our clients are confident in the knowledge that their revenue will not be put at risk,” said Jamie Wells, chief operating officer, Revenue Integrity division, Verisk Health. “Further, we are confident our clients will maintain a competitive advantage based on the completeness and integrity of the data submitted to CMS.”
Verisk Health leverages its risk adjustment and data management expertise to provide health plans with a comprehensive solution for EDS submissions and revenue management. The Verisk Health EDS Solution goes well beyond providing the mandated HIPAA-compliant (X12 5010 837 I, P) electronic data interchange. The integrated solution, featuring ReconEdge™ EDSQ, also includes high-quality automated data editing and cleansing, an automated workflow system for exception management, and robust analytical reporting — all to help health plans operate cost-effectively while managing revenue risk.
About Verisk Health
Verisk Health drives performance excellence in the business of healthcare. By combining clinical and analytics expertise with robust technology and services, we empower customers to fully leverage their data to achieve long-term measurable results. Verisk Health’s Revenue Integrity division (formerly Health Risk Partners) is a leading provider of risk adjustment services. The Revenue Integrity team has extensive experience working with federal and state healthcare payment methodologies and transforming them into solid business practices for Medicare and Medicaid health plans. Verisk Health is dedicated to helping its clients attain the highest levels of compliance, profitability, and strategic planning. Verisk Health is a subsidiary of Verisk Analytics (Nasdaq:VRSK). For more information, visit