HEALTHsuite Advantage™CMS Integration - Automating the Exchange of Information
CMS Compliance - Automated Process
The Medicare Advantage CMS Integration Pack provides your organization with the tools you need to streamline communications with the Centers for Medicare and Medicaid Services (CMS). This powerful gateway supports the bi-directional exchange of information with the federal agency as required for Medicare Advantage organizations and includes:
- BEQ & BEQR, Eligibility & Compliance Checks – ensures eligibility with CMS
- Automated Enrollment / Disenrollment Submission to CMS
- DTRR processing of CMS response with configurable workflow and routing
- Revenue Reconciliation with CMS (Premium Reimbursement)
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- Automated file loading & recon. with MMR, PPR, MPWR, LEP & No Premium Due
- LIS and LEP processing and integration with Premium Billing
- CMS COB / MSP File Integration
- Claims / Encounters Submission (RAPS / EDPS)
- Encounter Returns / Corrections and Resubmissions from CMS
- Integrated workflow and routing ensures compliance / timely resolution of issues
- Utilities to Load and Update CMS Fee Schedules
RAM Medicare Advantage and CMS Compliance Expertise
We are highly focused on Government sponsored healthcare (Medicare Advantage, Managed Medicaid and Special Needs) at RAM Technologies. In fact, it’s all we do. As a result of this targeted focus, we are able to deliver the very best solutions for your CMS Integration and Medicare Advantage / Managed Medicaid needs. Our company is highly committed to providing the premier solutions for MA, MD and SNP administration and includes:
- Staff of Experts – Extensive & Continuous MA, MD and SNP Training
- Our Team Goes the Extra Mile – Whatever It Takes to get the Job Done (ask our clients)
- All Product Development Done In-House by RAM Development Staff
- Partner w/ Industry Leading Vendors & Specialty Solutions Providers to Compliment our Offering
When you are ready to take a deeper look at systems and services that can simplify your compliance efforts and provide tangible improvements for your operational processes, contact us today to speak with a knowledgeable RAM representative and to request a demo.
Ready to learn more? Request a demo today.
Ready to learn more? Request a demo today.
Join our mailing list.
275 Commerce Drive, Suite 100
Fort Washington, PA 19034 USA
1-877-654-8810
Join our mailing list.
275 Commerce Drive, Suite 100
Fort Washington, PA 19034 USA
1-877-654-8810