Rockville, MD – CNSI, which delivers a broad range of health information technology (IT) enterprise solutions and customizable products to help clients achieve their mission, enhance business performance, and improve the health of over 28 million Americans, announced that it was awarded a 4.5 year contract to engineer, develop, maintain, and support the Centers for Medicare & Medicaid Services (CMS) next generation Encounter Data Processing System (EDPS) for Medicare Part C claims.
Encounter data, as it’s known, is the service record containing clinical and diagnostic information generated by health care providers during visits by Medicare Advantage (Medicare Part C) beneficiaries. CMS collects and analyzes the data centrally, then makes the appropriate adjustments to Medicare Advantage Organization reimbursements. Processing tens of millions of encounters weekly – and making the appropriate adjustments in a timely manner, as required by law – is a monumental technological task that is addressed by the EDPS.
“In the last decade, CNSI has developed unparalleled experience in large-scale health IT projects,” said Vijay Mishra, CNSI Senior Vice President of Federal Programs. “From our implementation of several state Medicaid Management Information Systems to our experience operating the existing EDPS, we are perfectly suited to execute this project.”
For the past five years, CNSI has worked as a subcontractor maintaining the operations of the existing Encounter Data Processing System (EDPS) that uses CNSI’s encounter processing engine. Over the years, CNSI has made significant investments in modernizing its claims processing platform by implementing an innovative system architecture to be hosted on AWS cloud and can handle a skyrocketing number of encounters while significantly improving accuracy.
“Our EDPS team has done incredible work and I’m so pleased to see CMS recognize the experience, expertise, and results by awarding CNSI a contract to develop the next generation of the system,” added Adnan Ahmed, CNSI Co-founder and President. “The EDPS is a critical piece of public health infrastructure. As a company, we have a long history of executing enterprise-level health IT projects. I’m excited to see CNSI meet – and exceed – CMS’ expectations for the next generation EDPS.”
CNSI delivers a broad range of health information technology (IT) enterprise solutions and customizable products to a diverse base of federal and state agencies. We align, build and manage innovative, high-quality, cost-effective solutions that help clients achieve their mission, enhance business performance and improve the health for over 28 million Americans. Formed in 1994, CNSI is headquartered in Rockville, Maryland, with locations throughout the U.S. and India. CNSI employs a world-class team of technologists, program managers, and subject matter experts, all of whom have experience with large scale mission-critical IT implementations. Formed in 1994, CNSI is headquartered in Rockville, Maryland, with locations throughout the U.S. and India. CNSI’s website is: http://www.cns-inc.com.