Healthcare technology leader enabling payer & provider collaboration to reduce medical & administrative costs and advance interoperability & value-based care.

Joined February 2012
1,007 Photos and videos
Risk scores aren’t just numbers—they reflect what patients need for the best care. Betty Stump urges providers to see risk adjustment as a path to patient-centered care, not just a numbers game: edifecs.com/blog/new-year-ne… #HealthcareAI #PatientCare
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On this Veteran’s Day, we are grateful for our countless veterans and the sacrifices and contributions they have made for our great nation. We honor your strength and courage and thank you for your service. #VeteransDay #HonoringVeterans #VeteransInBusiness
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Akbar Shareef from @CareSource lets us in on why he chose Edifecs and our Encounter Management solution—and what he’s most excited about in the future. Learn more about how Edifecs Encounter Management can support your organization: resources.edifecs.com/yt-pay… #payers #healthtech

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AI can cut #EncounterSubmission errors, boost data quality & improve plan performance but it starts with the right strategy. Join Edifecs’ Asfandyar Bashir, PMP & Dr. Demitri Plessas on Dec 4 at 1:30 PM ET to learn how: resources.edifecs.com/webina… #HealthTech #RiskAdjustment
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With the goal of becoming an industry-leading MCO, @CareSource knew that our Encounter Management solution would be the path to future growth. Watch our explainer video to learn more: resources.edifecs.com/yt-pay… #payers #encountermanagement #healthcareinnovation

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From all of us at Edifecs, Happy Diwali! As you gather with your loved ones, we wish you good health, peace, and prosperity. #DiwaliCelebration
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In a recent interview, Akbar Shareef (AVP, Claims-Encounters & Intake at @CareSource) explains how our Encounter Management solution maximized revenue for their health plan. Watch now: resources.edifecs.com/yt-pay… #payer #encountersubmissions #healthtech

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On this Indigenous People’s Day, we recognize the courage, strength, resilience, and contributions of Indigenous People in the U.S. #IndigenousPeoplesDay #IndigenousRights #DiversityAndInclusion
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Heading to the #NAACOS Fall Conference? Stop by booth C to see how NLP suspecting boosts financial and quality performance by highlighting conditions for clinicians—right at the point of care. See you in D.C.! #RiskAdjustment #HealthcareInnovation #NLPinHealthcare
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Struggling to manage state-specific encounter submission requirements? Edifecs #EncounterManagement streamlines complex manual workflows to ensure complete, accurate, timely, and compliant submissions. Learn more: resources.edifecs.com/organi… #healthcaretechnology #medicare
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Our Encounter Management solution drives accuracy, compliance, and higher first-pass rates—just ask Akbar Shareef from @CareSource. Watch the video to see how it can help your health plan: resources.edifecs.com/yt-akb… #payers #encountersubmissions #encountermanagement

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Missing or incorrect diagnosis codes cost ACOs time and money. Our NLP-powered solution helps capture 30% more conditions vs. claims-only. Visit us at NAACOS Fall Conference in DC to learn more! #ACOs #ValueBasedCare #HealthTech #NLPinHealthcare
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Want to maximize operational efficiency? Start with your EHR. The right modernization can boost efficiency and avoid costly missteps. Learn how Edifecs can help—visit booth 214 at Becker’s HIT RCM Conference. #BeckersConference #RCM #DigitalTransformation
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Read our case study to learn how one MCO leveraged Edifecs Encounter Management to eliminate complex manual workflows, more easily configure encounter data, and ensure ongoing compliance with CMS and state guidelines: resources.edifecs.com/organi… #riskadjustment #healthdata
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New Blog: Healthcare leaders are embracing a #FHIR-first approach for strategic #interoperability, but are they overlooking other valuable use cases? Check out our latest blog to dive into FHIR's role and benefits! Learn more: resources.edifecs.com/the-di… #HealthIT #HealthcareData

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Opt-in/opt-out CMS requirements present a host of new challenges. In our webinar with Accenture, we explored the issues facing the industry, plus new solutions that simplify and automate obtaining patient consent and ensure compliance. Watch now: resources.edifecs.com/managi…
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🚨 Attention #HealthPlans! #CMS has updated its submission requirements for #EncounterData for all supplemental benefits with 2024 dates of service. Need guidance? Join our webinar on May 28 at 3 PM EDT! 👉 resources.edifecs.com/social… #HealthcareData #HealthcareWebinar
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We teamed up with WEDI and Accenture to tackle interoperability challenges and explore new consent management solutions for health plans. Catch the on-demand recording: resources.edifecs.com/Linked… #FHIR #Interoperability #HealthcareData #HealthTech #HealthPlans #ConsentManagement
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Edifecs is now part of Cotiviti, a leader in data-driven healthcare solutions. Read our press release and learn how this acquisition will drive transformation in value-based care, interoperability, and streamlined operations for both payers and providers. resources.edifecs.com/2025-C…
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Struggling with incomplete data, limited editing, or processing delays? Your #EncounterSubmissions solution might be the issue! Discover how we can help in our success story: resources.edifecs.com/social… #HealthcareData #HealthTech #DataOptimization #HealthPlans #Payers
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