Visiting a corn maze on Halloween can be fun, but trying to navigate the transition from RAPS to EDS has been more like a house of horrors for Medicare Advantage plans. Revenue loss has been a major concern for health plans due to the difficulty of submitting data via EDS and getting the Centers for Medicare & Medicaid Services (CMS) to accept it. This challenge, coupled with the reconciliation of claims and supplemental data, is a prime opportunity to ask, “Is there a better way?”
The answer is yes. RAPS-versus-EDS comparative analysis can help you identify gaps in your data extracts and shine attention on the in-house errors that have big revenue impact.
I hope you’ll join us for Verscend’s on-demand webinar. Eswaran Kalyani, Verscend’s manager of Risk Adjustment reporting, and I offer tips for:
How to identify the impact of EDS on CMS payment as well as your data gaps
How to improve your submission system to make claims as clean as possible
How to conduct financial planning and allocate enough resources to improve your submissions process
Don’t be frozen by fear over the RAPS-to-EDS transition this Halloween season. Take this opportunity to make a direct impact on your risk adjustment bottom line and watch the webinar on-demand.
As vice president of product at Verscend, Lesley drives the product strategy for Verscend’s end-to-end Risk Adjustment solutions, ensuring that we continue to deliver innovative and compliant solutions for our customers. She has more than 30 years’ experience in product and project management in the healthcare and pharmaceutical industries. Before joining Verscend, she served as senior vice president of product management at Halfpenny Technologies, a leading provider of clinical data exchange solutions for healthcare providers. She also previously served as senior vice president of care management products for TriZetto, where she was accountable for the quality, delivery, and support of the software solutions in the its care management portfolio, and she held multiple positions at Alere Health. Lesley is the co-author of 10 U.S. patents and has been published in 16 peer-reviewed scientific and clinical journals.