Encounter Data Processing System

Acronym: EDPS

CMS implemented the Encounter Data Processing System (EDPS) to allow the agency to collect, process and analyze Medicare Advantage (MA) encounter data, which is used to calculate payments. Once an encounter data record (EDR) or chart review record (CRR) submitted by a Medicare Advantage Organization or other submitters has successfully passed through the frontend EDFES edits, the record is then transferred to the backend EDPS for additional processing. During EDPS processing, EDRs and CRRs are subjected to additional record and line-level edits that result in records and/or lines being rejected or accepted. Many of the edits apply to institutional records and professional/DME records, whereas other edits are specific to the record type (institutional or professional/DME). The EDPS generates two reports on the outcome of the editing process: MAO-001, MAO-002 reports. See, [https://www.csscoperations.com/internet/csscw3.nsf/DID/C1QB31Y8ZY](https://www.csscoperations.com/internet/csscw3.nsf/DID/C1QB31Y8ZY)