Overview
 
Products
Enrollment/ Eligibility
Risk Management
 
HCC Analytics
RAPS/Encounter
Management
Plan Revenue Reconciliation
PDE Management and Audit
 
Customers
 
Services
 

 

Products
 
Risk Adjustment Processing System (RAPS)/Encounter Management



Voyager’s RAPS Management Module provides the ability to:
Utilize a user defined work flow rule library
Reconcile RAPS reply files with submission files to the encounter level
Submit all RAPS data to CMS for Parts A/B/D
Track aging and provide management reports for data sourcing, uploading and reconciliation with CMS
Submission of encounter and alternate ICD-9 codes in RAPS format to CMS
Validate and edit RAPS data before submission
Search and correct rejected RAPS data
Resubmit corrected RAPS data to CMS
Process RAPS reply files
Import encounter data from legacy claims system
Import Member data from legacy system
Import Provider data from legacy system
Manual entry of RAPS data
Mass data correction tools
Inventory management dashboard
Manual entry of RAPS data Duplicate already listed above
Mass data correction tools Duplicate already listed above
Log queries and make data entry/modification
Utilize user defined validation rule library