Inovalon Earns CMS Encountered Data End-To-End Testing Certification
BOWIE, Md., June 18, 2012 /PRNewswire/ — Inovalon, Inc. (the new name of MedAssurant, Inc.), a leading provider of data-driven healthcare solutions, today announced it has received the Encounter Data Processing System (EDPS) certification for the processing of professional encounter data, from the Centers for Medicare and Medicaid Services (CMS). With this significant achievement Inovalon is now CMS certified as a third party submitter of professional encounter production data to CMS.
“With the successful certification for professional encounter data, and the Front End Certification achieved in December 2011, Inovalon is now able to fully support clients during the transition from the current risk adjustment processing system (RAPS) to the encounter data processing system (EDPS),” said Daniel L. Rizzo, CFA, Inovalon’s Chief Innovation Officer. “Achieving the large-scale data integration, processing, reporting, and submission certification in parallel succession with CMS’ evolving technical specifications, ahead of the CMS mandated deadline, is a testimony to Inovalon’s strong commitment to clients and capability to quickly react and bring to market healthcare analytics solutions, which not only meet the most stringent regulatory and compliance policies of the government, but also provide our clients with in-depth insights into their risk adjustment process.”
Inovalon’s eCAAS Advantage(TM) Encounter Data Processing Solution provides a comprehensive claims processing and risk adjusted financial valuation solution to address CMS’ transition from RAPS-based submissions to the new 5010-format encounter data submissions. Inovalon’s eCAAS Advantage uses industry-leading software and technologies to deliver an agile encounter solution that provides data integration, analysis, error review, and financial reporting. Whether clients send data in a customized format or in the standard EDI (X12) formats, eCAAS Advantage integrates and processes the encounter files, performs seven levels of compliance checks through integration with Inovalon’s analytical platform, and provides clients with in-depth reporting and tracking, and analysis capabilities on financial, and other critical measures. This provides Medicare Advantage organizations with improved insight and decision-making capability, ultimately strengthening their financial performance.
About Inovalon, Inc.
Inovalon, Inc., the new name of MedAssurant, Inc., is a healthcare technology company that combines advanced data analytics with highly targeted interventions to achieve meaningful impact in clinical outcomes and financial performance across the healthcare landscape. Our unique achievement of value is delivered through the effective progression of Turning Data into Insight, and Insight into Action®. Proprietary datasets, sophisticated analytics, deep subject matter expertise and nationwide in-community personnel deliver a seamless, end-to-end platform of technology and operations. Driven by data, Inovalon uniquely identifies gaps in care, quality, data integrity, and financial performance — while also bringing to bear the resources to resolve them. This differentiating combination provides a powerful capability suite, touching more than 285,000 physicians, 195,000 clinical facilities, and more than 120 million Americans, driving high-value impact, improving the quality and economics for health plans, hospitals, physicians, patients, and researchers. Please visit www.inovalon.com for more information.
SOURCE Inovalon, Inc.