Stepping back from the edge
06/27/2016
For many, the recent ACA-mandated edge submission was fraught with challenges, stress and complexities – all compounded by the challenging nature of working with CMS. And it’s not over. While submission is complete for this year, it’s time to prepare for the 2016 benefit-year submission by evaluating processes for work errors, discrepancy management and orphan claim elimination.
Fortunately, there are solutions available to alleviate the burden of additional analysis, while providing insight and expertise into the intricacies involved -- ensuring maximum accuracy and risk scores.
Real solutions – More than a safety net
Altegra Health’s EDGE CompleteTM, a web-hosted edge server data-transmission and error-management tool, alleviates the burden of data submission, CMS communication and error management. Coupled with expert edge data team support, you can reduce the effort and costs associated with edge submissions while improving submission accuracy and risk scores. On average, Altegra Health clients achieve 98 percent or higher submission accuracy.
Key EDGE Complete features and benefits:
- Baseline dashboard to manage CMS reporting
- Enrollment data management
- CMS report viewer
- Full data transformation transparency
- Reduced orphaned claims
- Integration of edge server tables
- Advanced sorting and filtering – for additional review or error reconciliation
Comprehensive support – we won’t leave you hanging
As an integrated-solutions provider, Altegra Health offers RISK ViewTM to work with EDGE Complete. RISK View, a web-hosted decision support and analytics tool, is the core of Altegra Health’s risk adjustment services providing risk score improvement and sophisticated ROI analytics -- ensuring resources are used most effectively to minimize funds-transfer risk. Coupling EDGE Complete and RISK View provides you with comprehensive support and maximizes your potential for the best possible financial outcome.
To learn more about easing the burden and maximizing the results of your risk and submission analytics, visit our website or call 1-877-461-0415.