IT service management company CNSI has been 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, is required by law.

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, according to the company.

[Image courtesy: CMS]