Revenue Reconciliation and attesting to the accuracy of CMS payment reports (MMR) compared with a Plan’s internal records has never been simpler. Reveleer’s revenue reconciliation module allows a Plan to easily load their membership, bid information and MMR to quickly identify member, special status and payment discrepancies.
Enrollment and Special Status discrepancies are captured where corrections can be made to either plan data or appeals to CMS; payment level discrepancies are identified indicating issues with bid information or CMS payment processing errors.
Identify data and process issues early that will impact your payments from CMS by identifying and tracking member, special status and payment discrepancies between your MMR and internal data.
Reveleer’s Revenue Reconciliation module allows users the ability to view data at summary and detail levels to diagnose the reason why identified discrepancies exist and correct the problem.