Mark LoPresti's Contact Details

Mark LoPresti's Company Details

Encounter Data and Revenue Specialists

Virginia Beach, VA, US • 5 - 9 Employees
Technology Consulting/Tech Services

Our objective is to provide expert consulting to Medicaid Managed Care Organizations, Medicare Advantage Organizations, and Medicare Medicaid Plans. Our consulting is focused on the area of Encounter Data Management, specifically helping plans to build the capabilities that will allow them to achieve full encounter contract compliance and to improve premiums by having complete and accurate data submitted to their partner agencies.Encounter Data and Revenue Specialists have developed an Encounter Management Operating Model. This model provides the basis for our engagements. The primary steps within this model are:•Alignment – Ensuring that all upstream systems and processes are aligned with the encounter data requirements•Assessment – Measurement of current results, systems, and processes including root cause analysis on major defects affecting success in each of these areas•Action Plan – Based on the findings, develop the plan for building a high performing Encounter Management practice•Achieve – Execute the plan and leave the organization with the tools and knowledge needed for continued success