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Best Practices for Collecting & Reporting Encounter Data

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Duration:60 minutes

Abstract:

In April 2016, CMS finalized the Medicaid Managed Care Final Rule which issued updated guidance on encounter data submissions which has significant operational impacts for managed care organizations (MCOs).

With the threat of losing federal payments, State Medicaid Agencies are more actively monitoring and auditing MCOs on their encounter data quality and timeliness; and hefty penalties have been handed out to organizations that fail to comply with requirements.

This webinar addresses some of the key challenges faced by MCOs collecting and reporting encounter data. TransUnion will offer best practice advice based on our 25 years operational experience partnering with clients to help them improve encounter data throughput and quality.

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Speakers

Noelle Porter

Vice President, TransUnion


Noelle has over 25 years’ experience in managing the data needs of some of the largest managed care organizations in the nation. She has witnessed the evolution of Encounter data since the “HMOs” in the 90’s to the current emphasis on value based care. Today she advises and provides services around the data transmission and analytics of Encounter data, which continues to grow in importance as more of the population embraces managed care.

Stephen Harrop

Business Analyst, TransUnion


Stephen joined TransUnion as a Business Analyst after previously working in the United Kingdom as a data quality analyst for the National Health Service. His role now involves raising awareness of TransUnion’s payer solutions nationally, particularly as the industry shifts towards managed care and Encounter data gains prominence.

Best Practices for Collecting & Reporting Encounter Data
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