BOWIE, Md., March 18, 2024 (GLOBE NEWSWIRE) -- Inovalon, a leading provider of cloud-based software solutions empowering data-driven healthcare, launched Converged Submissions today to simplify and improve encounter data submissions in support of risk adjustment programs. This cloud-based SaaS solution is part of Inovalon's Converged Risk Solution Suite and analyzes encounter data to determine risk adjustment eligibility and deliver complete and accurate encounter data submissions on demand.

BOWIE，Md.，2024年3月18日（环球通讯社）--Inovalon是一家领先的基于云的软件解决方案提供商，它支持数据驱动的医疗保健，今天推出了聚合提交，以简化和改进遭遇数据提交，以支持风险调整计划。这种基于云的SaaS解决方案是Inovalon融合风险解决方案套件的一部分，它分析遭遇数据以确定风险调整资格，并根据需要提交完整准确的遭遇数据。

Health plans with risk-adjustable lives using Converged Submissions receive proactive insights to validate data, correct errors, and prioritize submission efforts to achieve higher first-pass acceptance rates for greater financial impact and efficiency.  The Centers for Medicare & Medicaid Services (CMS) requires Medicare Advantage (MA) plans, Medicare-Medicaid plans, and Commercial Affordable Care Act (ACA) plans to submit encounter data that is used to evaluate and accurately reimburse the health plans.

使用聚合提交的具有风险可调寿命的健康计划可以获得积极的见解，以验证数据，纠正错误，并优先考虑提交工作，以实现更高的首过接受率，从而产生更大的财务影响和效率。医疗保险和医疗补助服务中心（CMS）要求医疗保险优势（MA）计划、医疗保险医疗补助计划和商业平价医疗法案（ACA）计划提交用于评估和准确报销健康计划的遭遇数据。

Incorrect submissions and errors can delay payments anywhere from 6 to 18 months and must be corrected to avoid financial impact or regulatory penalties. Most solutions available today are reactive and wait to correct claims that CMS rejects causing further delays and acceptance rates as low as 80%.

不正确的提交和错误可能会延迟付款6到18个月，必须予以纠正，以避免财务影响或监管处罚。目前可用的大多数解决方案都是被动的，等待纠正CMS拒绝导致进一步延迟和接受率低至80%的说法。

Health plans using Inovalon’s solutions average 94% to 99% acceptance rates. Converged Submissions leverages customer data feeds and analytics informed by Inovalon’s MORE² Registry®, the nation's largest longitudinal primary source healthcare dataset, to train an advanced pre-validation and correction analytics engine, empowering a superior error catch rate and auto correction of data capability.

使用Inovalon解决方案的健康计划平均接受率为94%至99%。聚合提交利用Inovalon的MORE²Registry®（全国最大的纵向主要来源医疗保健数据集）提供的客户数据馈送和分析，以培训先进的预验证和更正分析引擎，从而实现卓越的错误捕获率和数据自动更正功能。

Combined with comprehensive, up-to-date regulatory and submission rules algorithms, these.

结合全面、最新的监管和提交规则算法，这些。