HEALTHsuite AdvantageAutomating the Exchange of Information with CMS

CMS Compliance - Automated Processes

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)
    • 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 Medicare Advantage 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 needs. Our company is highly committed to providing the premier solutions for MA and SNP administration and includes:

  • Staff of Medicare Advantage Experts – Extensive & Continuous MA 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.

CMS Integration

Ready to learn more? Request a demo today.

Ready to learn more? 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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