Managed Medicaid

The rules for encounter data submissions vary according to each state. Our associates have in-depth experience interacting with all of the major financial intermediaries in the market today.

 

Encounter Reconciliations

Encounter Reconciliations

More and more states are moving to reconciling encounter data to other financial reporting. And they allow very little variance. Learn how we can help.

Risk Adjustment

Risk Adjustment

After investing money and time ensuring that your member’s diagnoses are complete, are you sure that you are getting everything you can out of those efforts? Learn how we can help.

Contract Compliance

Contract Compliance

Don’t be hit with liquidated damages, or worse. As Medicaid Managed Care contracts become more and more strict, it is critical that your plan be able to deliver on their obligations related to encounter reporting. Learn how we can help.

Delegated Vendors

Delegated Vendors

If you delegate claims payment to another entity for services such as vision, transportation, dental, and more, are you sure that those vendors are fully and completely reporting their encounter data? Learn how we can help.

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we can help your
Managed Medicaid plan

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we can help your
Medicare Advantage plan

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Medicare/Medicaid Duals plan

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