Inovalon Earns DME Encounter Data End-To-End Testing Certification

BOWIE, Md., Oct. 4, 2012 /PRNewswire/ -- Inovalon, Inc., a leading provider of data-driven healthcare solutions, today announced it has received the Encounter Data Processing System (EDPS) certification for the processing of Durable Medical Equipment (DME) encounter data, from the Centers for Medicare and Medicaid Services (CMS). With this achievement Inovalon is now CMS certified as a third party submitter of all aspects of encounter production data to CMS.

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With the DME encounter data processing certification and the professional and institutional certifications achieved in May and July of 2012, Inovalon is now fully certified for the End-to-End Testing. "Achieving the large-scale data integration, processing, reporting, and submission certification in parallel succession with CMS' evolving technical specifications, is a testimony to Inovalon's strong expertise in developing solutions catering to the unique needs of our clients," said Daniel Rizzo, CFA, Inovalon's Chief Innovation Officer. "Having these capabilities allows us to quickly react and bring to market healthcare analytics solutions that meet the most stringent regulatory and compliance policies of the government and provide our clients with in-depth insights into their risk adjustment process," concluded Rizzo.

Inovalon's eCAAS Advantage™ Encounter Data Processing Solution provides a comprehensive claims processing and risk adjusted financial valuation solution to address CMS' transition from RAPS-based submissions to the new 5010-format encounter data submissions. Inovalon's eCAAS Advantage uses industry-leading software and technologies to deliver an agile encounter solution that provides data integration, analysis and reporting. Whether clients send data in a customized format or in the standard EDI (X12) formats, eCAAS Advantage integrates and processes the encounter files, performs seven levels of compliance checks through integration with Inovalon's analytical platform, and provides clients with in-depth reporting and tracking, and analysis capabilities on financial, and other critical measures. This provides Medicare Advantage organizations with improved insight and decision-making capability, ultimately strengthening their financial performance.

About Inovalon, Inc.

Inovalon, Inc., is a healthcare technology company that combines advanced data analytics with highly targeted interventions to achieve meaningful impact in clinical outcomes and financial performance across the healthcare landscape. Our unique achievement of value is delivered through the effective progression of Turning Data into Insight, and Insight into Action®. Proprietary datasets, sophisticated analytics, deep subject matter expertise and nationwide in-community personnel deliver a seamless, end-to-end platform of technology and operations. Driven by data, Inovalon uniquely identifies gaps in care, quality, data integrity, and financial performance ­— while also bringing to bear the resources to resolve them. This differentiating combination provides a powerful capability suite, touching more than 540,000 physicians, 220,000 clinical facilities, and more than 120 million Americans, driving high-value impact, improving the quality and economics for health plans, hospitals, physicians, patients, and researchers. Please visit for more information.

SOURCE Inovalon, Inc.