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How accurate and complete are your CMS submissions?

Your organization’s data, resources and needs are unique. Optum takes a customized approach to its Submission Services. We combine consultative services and technology to provide you transparency and workflow tools via a self-service portal.

It’s what sets us apart from vendors that take a one-size-fits-all approach to intake encounter data, transform it and submit it to the Centers for Medicare and Medicaid Services (CMS). This customizable, scalable solution helps simplify Encounter Data System (EDS) submissions to CMS.

We can tailor it to meet your needs and match your data. Optum submissions platform offers:

  • A self-service, interactive portal where you can view and track submissions by claim DOS and file — also facilitates client-driven error correction
  • An easy-to-use dashboard provides summary and detail reporting
  • The ability to see data error details such as value assessment of risk-adjustable services with new and unique diagnosis codes
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Analytics

We can detect errors prior to submission using pre-filtering logic.

Accuracy

We submit encounter data to CMS with consistent acceptance rate over 99%.

Speed and scale

We submit data to CMS multiple time per day, within same day of receipt and we can accommodate all file sizes, no matter how big or small.

Convenience

Our self-service portal enables you to view and track submissions by claim DOS and file. Clients can drive error correction via the portal.

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Submission services: Encounter data to CMS