Cirdan views accurate encounter data submissions as critical to a successful Medicaid program and an integral extension of the claims processing cycle. Our solution assures risk score accuracy and reduces audit risk by keeping your submission data in sync with your claims, enrollment, and provider systems.
State Medicaid Agencies continue to increase the weight on encounter data in the Medicaid rate setting process and in risk adjustment payments to health plans. Do you know how your plan’s encounter data may be impacting your revenue?
- Clients are consistently at the top of state-defined metrics and benchmark reports
- Penalty dollars for encounter errors for our clients have been $0 for multiple reporting periods
Our Comprehensive Encounter Data Offering:
- Business process assessment, audit and consulting
- Cirdan web-based tool for submission management & error resolution
- Full-service client submissions