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RAM Technologies, Inc. Releases HEALTHsuite® Version 15 Providing Greater Capabilities for Medicare Advantage and Managed Medicaid Health Plans

RAM Technologies, Inc., the perennial leader in the development of core administrative software for health plans, is pleased to announce the release of Version 15 of the claims management system, HEALTHsuite® Mercato.  This latest release features significant advancements to streamline the administration of Medicare Advantage and Managed Medicaid. New features include expanded capabilities to manage Medicare benefit periods, support for CMS Changes for BEQ, COB and premium reconciliation, and enhanced reporting capabilities to name a few.

“We are constantly striving to provide the most comprehensive, end-to-end solution for health plans administering Medicare Advantage and Managed Medicaid,” stated Robert A. Tulio, President of RAM Technologies. “These most recent enhancements reinforce our commitment to our clients and our core focus; to provide the consummate tool to maximize productivity and reduce costs in the administration of government sponsored healthcare programs.”

The latest HEALTHsuite release features many advancements including: 

-          Expanded Capabilities to Manage Medicare Benefit Periods

-          CMS CARC-to-RARC Mapping Changes

-          CMS Changes for BEQ, COB and Premium Reconciliation

-          Medicare Advantage Organization Report (Encounter Data Diagnoses Eligible for Risk Adjustment)

-          Support of New GPCI File Format for Medicare Physician Fee Schedule

-          Extended Capabilities for Managing Affiliations for Medicaid Providers

-          And More…

HEALTHsuite Mercato is a highly adaptable, browser-based solution designed to streamline the administration of government sponsored healthcare. HEALTHsuite Mercato provides unparalleled automation across health plan operations including eligibility and enrollment, benefit administration, provider contracting and reimbursement, provider credentialing, medical & utilization management, care management, premium billing, encounter / claims administration, overpayment recovery, customer service, contact management, capitation, subrogation, fulfillment, EDI integration, management & operational reporting and more.

In addition to the enterprise capabilities provided by HEALTHsuite Mercato, RAM’s eHealthsuite web portal enables providers and members to interact with the health plan in real time through a secure Internet connection. This self-service functionality, available 24 x 7, lowers administrative costs by reducing the demands on the health plan’s customer service personnel.

About RAM Technologies, Inc.

RAM Technologies is a leading provider of enterprise software solutions for healthcare payers. For over 36 years RAM Technologies has led the way in the creation of superior software solutions for health plans serving government sponsored healthcare programs (Managed Medicaid, Medicare Advantage, Federal Employee Health Programs, etc.). RAM Technologies has merited a top spot in the Philadelphia Business Journal's "List of Top Software Developers" for eight consecutive years, has been featured in Inc. Magazine’s List of Fastest Growing Private Companies for five years and has been named Most Promising Insurance Technology Solution Provider by CIO Review. To learn more about RAM Technologies call (877) 654-8810 or visit www.ramtechinc.com.