Managed Care Organizations (MCOs) are looking to maximize encounter submission accuracy, compliance, and first-pass rates. Yet fragmented encounter data, disparate systems, and manual, inefficient workflows are barriers that can lead to revenue leakage. Plus, as plans expand into new markets and have more members, claims data, and complex rules, outdated systems aren’t enough.
Edifecs’ Encounter Management solution is our AI-powered, SaaS-based comprehensive encounter lifecycle management platform that maximizes encounter submissions accuracy and compliance—leading to 99% acceptance rates. With a unified workflow, teams can identify when data is missing, edit and validate encounters before they’re submitted, prioritize and address errors, and easily handle modifications and custom rules. Encounter Management is a solution that ensures scalability and supports future growth.
Watch this video to learn more.