Unless you’ve been avoiding the topic, you know the transition from the Risk Adjustment Processing System (RAPS) to the Encounter Data Processing System (EDPS) will reach 50/50 next year. But reaching this blend of 50% RAPS and 50% EDPS data for calculating your health plan’s Medicare Advantage (MA) risk score doesn’t have to be a painful process.

Babel Health Solution: Getting You to 50/50 in 2020

If you’re not feeling confident about meeting the 50/50 RAPS/EDPS requirement, turn to Babel Health.

  • Struggling with a less-than-supportive support team: Is your RAPS/EDPS support vendor neglecting you because you’re not a big plan? Or maybe you rely on the in-house IT team that can’t focus solely on your MA needs. At Babel Health, we provide dedicated support to help you succeed. And most importantly, large, mid-size and small health plans receive the same level of quality service from Babel Health.
  • Simplifying the complex: The Babel Health easy-to-use, integrated platform is the single solution for both RAPS and EDPS encounter submissions. Our R3 Insight© tool identifies and reconciles gaps between RAPS and EDPS submissions, ensuring CMS compliance. We reduce the burden on IT departments, as well as remove the duplicative efforts of managing multiple vendors on disparate platforms. The pricing for RAPS and EDPS is bundled, and once the transition to EDPS is complete, the pricing will stay the same.

With Babel Health, you’ll have greater visibility into your Medicare Advantage data. This insight will lead to improved error correction, increased compliance, maximized revenue and reduced operating costs.

If the 50/50 in 2020 has you rethinking your current RAPS and EDPS process or vendor, contact us today. It’s not too late to be ready for this fast-approaching CMS requirement.