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
HHS EDGE server submission services
Optum® HHS External Data Gathering Environment (EDGE) server submissions services is HITRUST risk-based, 2-year certified.
The Symmetry suite
Optum HHS EDGE submissions services hosts servers for each legal entity, can acquire and integrated data, transform and mask data, pre-filter data for quality metrics, remediate errors and support resubmission.
Providing end-to-end support and transparency
Optum has a proven history of successful Affordable Care Act (ACA) implementations and extensive health care systems knowledge. This qualifies us to lead clients to successful EDGE server submission implementations.
We submit data in the frequency required by the Department of Health and Human Services (HHS) at a minimum of quarterly, to HHS in the specified format and track those submissions and resulting HHS responses. Optum monitors HHS business rules continually and notifies clients immediately of updates and helps clients understand so they can take the appropriate action.
