SOLUTIONS & SERVICESManaged Medicaid Software and Services

HEALTHsuite Advantage provides the flexibility and precision to streamline every aspect of your Medicaid administration. Following are key features available from RAM and HEALTHsuite Advantage:

  • Strong Data Management Controls – integral for accuracy and reporting
  • Flexible Configuration – including non-traditional services (Ramp building, meals on wheels, etc.)
  • Supports Membership and Financial Reconciliation Including Roster, State Audit and 820 Processing
  • Captures Medicaid Recipient Categories
  • Supports Individual Beneficiaries and Links Individuals to Medicaid Cases
  • Supports PCP Auto Assignment
  • Highly Configurable to Connect Family and Individual Member Records to any Plan / Benefit
  • All Correspondence Connected to Appropriate Member for Ease of Access
  • Environment Compliant with State Regulations
  • Integrated and Configurable Workflow – for both operations as well as medical management
  • Reporting Enabled, Ability to Generate Specific State Reports Based on Guidance
  • Supports Medicaid / Medicare Dual Eligible Processing (Wraparound or COB)
  • Simplifies Integration with the State – both inbound and outbound including proprietary data formats
  • Maintains and Tracks Financial Responsibility for Government and Unlimited Third Party Subsidies
  • Supports Loading of Medicaid Fee Schedules
  • Integration of Prospective Payment Systems and Cost Containment Tools
  • And more…

In addition, we make available to our clients the State Medicaid Integration Pack which includes State Specific capabilities for the following functions:

  • Enrollment
  • Capitation Payment Reconciliation
  • Encounter Reporting
  • State Specific Medicaid Fee Schedules
  • State Specific Support for Timely Filing
  • And more…

NOTE: The State Medicaid Integration Pack is provided and maintained by RAM Technologies and includes ongoing, periodic releases to accommodate changes in regulatory and compliance requirements mandated by each state.*

ELIMINATE

Implementation Risks

COLLAPSE

Implementation Timeframes

REMOVE

Exorbitant Cost Overruns

HEALTHsuite Advantage

Learn more about our Hosted and On-premise deployments, our BPaaS options and our purposeful product roadmap focused exclusively on Government Sponsored healthcare.

HEALTHsuite Advantage and eHealthsuite will position your plan for success in this highly-competitive market.

Implementation & Deployment

Find out more about our proven pre-configured solution and revolutionary hassle-free implementation process accelerating your entry into the Managed Medicaid market.

Managed Medicaid BPaaS

Interested in interim or long-term operational assistance? The RAM Health Services team (BPaaS) saves you time and reduces administrative costs without sacrificing quality.

eHealthsuite Portals

Our Member and Provider portals offer robust self-service functionality and leverage the same database as HEALTHsuite Advantageensuring  real-time access to their information, saving time and valuable plan resources.

Compliance

RAM is committed to keeping our solution and clients in compliance with CMS. We actively monitor CMS updates ensuring our delivered solution will remain in compliance with new and evolving regulations.

If you’re ready to learn more about how RAM Technologies’ solutions and services will help you succeed in the competitive world of Managed Medicaid, request a demo today.

If you’re ready to learn more about how RAM Technologies’ solutions and services will help you succeed in the competitive world of Managed Medicaid, request a demo today.

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RAM Technologies, Inc.

275 Commerce Drive, Suite 100
Fort Washington, PA 19034 USA
1-877-654-8810

Join our mailing list.
Get Medicare Advantage insights and updates from RAM Technologies delivered right to your inbox.
RAM Technologies, Inc.

275 Commerce Drive, Suite 100
Fort Washington, PA 19034 USA
1-877-654-8810

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