Health Risk Partners Receives Certification for CMS Encounter Data System Front-End Testing Well Ahead of Mandatory Deadline

Health Risk Partners (HRP), the Revenue Integrity Division of
Verisk Health and a leading provider of healthcare risk adjustment
services, announced it received certification from the Centers for
Medicare and Medicaid Services (CMS) for successful completion
ofthe Encounter Data System Front-End Testing. The new
Encounter Data Processing System supports CMSs rapidly evolving
role in the delivery, management, and payment of healthcare
services. CMS is requiring certification for the submission of
Medicare Advantage plan encounter data, scheduled to begin today,
January 4, with CMS End-To-End testing followed by production data
submission. As of December 2011, HRP has received CMS
certifications for more health plans than any other third-party
submitter. Health Risk Partners was certified on the first day that
CMS began the new Encounter Data System Front-End Testing
certification process, which demonstrates HRPs institutional
knowledge and market expertise, as well as our ability to put our
clients interest and needs at the forefront, said Jamie Wells,
chief operating officer at Health Risk Partners. We have
significant experience working closely with CMS and in building
custom processes that are compliant with CMS requirements, so our
clients are confident and secure in knowing revenue is not being
put at risk. Further, we believe our clients will maintain a
competitive edge while we add value to the integrity of the data
submitted to CMS to drive its reimbursement programs for the
future. HRP leverages its risk adjustment and data management
expertise to provide a comprehensive solution to support health
plans with EDS submissions and revenue management. The HRP solution
goes well beyond providing the mandated HIPAA-compliant (X12 5010
837 I, P) electronic data interchange. HRPs integrated solution,
featuring ReconEdge EDSQ, also includes high-quality automated data
editing and cleansing, an automated system for exception
management, and robust analytical reporting all to help health
plans operate cost-effectively while managing revenue risk. About
Health Risk Partners Health Risk Partners (HRP), the Revenue
Integrity Division of Verisk Health, is a leading healthcare
technology firm and provider of risk adjustment services. The HRP
team has extensive experience working with federal and state
healthcare payment methodologies and transforming them into solid
business practices for Medicare and Medicaid health plans. HRP is
dedicated to helping its clients attain the highest levels of
compliance, profitability, and strategic planning. Verisk Health is
a subsidiary of Verisk Analytics (Nasdaq:VRSK). For more
information, visit www.healthriskpartners.com.