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Encounter Data Industry Update
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Schedule:
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Thursday, October 27, 2011
1:00 P.M. – 3:00 P.M., EST
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Topics:
- Encounter Data System (EDS) Implementation
- EDS testing scenarios and timeline
- Encounter Data Front-End System Testing Results
- Policy Updates on the CAS Segment
- Policy Updates on Submission of Paper Claims
- Preview of EDS Transactional Reports
- Outreach Activities/User Group Calls
- Question and Answer Session
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Audience:
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Medicare Advantage Organizations (MAOs) and other entities that will submit encounter data. CMS requires the following types of organizations to collect and submit encounter data:
- Medicare Advantage (MA) Plans
- Medicare Advantage-Prescription Drug (MA-PD) Plans
- Health Maintenance Organizations (HMOs)
- Special Needs Plans (SNPs)
- Local Preferred Provider Organizations (PPOs)
- Regional PPOs
- Employer Group Health Plans (EGHPs)
- Programs for All-Inclusive Care for the Elderly (PACE) Plans
- Cost Plans (1876 Cost HMOs/CMPs and 1833 HCPPs)
- Medical Savings Account (MSA) Plans
- Private Fee-For-Service (PFFS) Plans
- Religious Fraternal Benefit (RFB) Plans
- Provider Sponsored Organizations (PSOs)
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