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Round out your risk adjustment program with a best-in-class SaaS solution that supports comprehensive and accurate encounter data submissions. Join our experts and discover the difference of Converged Submissions - product demo included!
Leverage our experts in risk score payment models, clinical and quality oversight of medical record reviews (MRR), and Risk Adjustment Data Validation (RADV) guidance.
Invalidated or CMS-rejected claims are available for correction, with the ability to export errored claims in an 837/PDF/CSV format.
Featuring in-tool correction suggestions that focus on providing feedback on error resolutions and prioritization to help health plans achieve accurate results.
Experience peace of mind with software that consistently meets CMS submission regulations and swiftly adapts to regulatory changes, evaluating their impact within 48 hours of release and implementing them by required CMS timelines.
Round out your risk adjustment program with a best-in-class SaaS solution that supports comprehensive and accurate encounter data submissions. Join our experts and discover the difference of Converged Submissions - product demo included!
Leverage our experts in risk score payment models, clinical and quality oversight of medical record reviews (MRR), and Risk Adjustment Data Validation (RADV) guidance.
Invalidated or CMS-rejected claims are available for correction, with the ability to export errored claims in an 837/PDF/CSV format.
Featuring in-tool correction suggestions that focus on providing feedback on error resolutions and prioritization to help health plans achieve accurate results.
The ScriptMed Cloud software solution is an industry leader, serving six of the top ten specialty pharmacies, and 35% of specialty pharmacy patients nationally
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Learn more about Converged Submissions and watch a demonstration of the solution.
VP, Data Analytics, Inovalon
Lalith Mehta is a seasoned executive with over 20 years of experience in healthcare technology. He is responsible for overseeing the product management and analytics of risk adjustment solutions for Medicare, Medicaid, and commercial risk adjustment products.
Senior Manager, Risk Adjustment Product Execution, Inovalon
Ian Hillerman serves as Senior Manager of Product Execution for risk adjustment analytics and submissions products at Inovalon. Mr. Hillerman oversees the development of Inovalon’s submission tools, delivering EDPS and EDGE Submission solutions that are plan-specific.
Senior Product Manager, Payer, Inovalon
Praveen serves as Senior Product Manager in the Payer Business Unit at Inovalon. In this role, Praveen oversees the product development and management of Inovalon’s Converged Risk solution, delivering payer solutions that are health plan specific.
Learn more about Converged Submissions and watch a demonstration of the solution.
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
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Medical Software Specialist
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Medical Software Specialist