Delivering capabilities like this, in advance of the CMS requirement date is just another example of what makes HEALTHsuite Mercato and RAM Technologies the premier solution for Medicare Advantage health plans.
Fort Washington, Pennsylvania (PRWEB) September 12, 2017
RAM Technologies, Inc., the perennial leader in the development of claims processing software for healthcare payers is pleased to announce their commitment to support the CMS mandated Medicare Beneficiary Identifier (MBI) in the HEALTHsuite® Mercato core claims management system. This functionality is scheduled to be released in December 2017, well in advance of the CMS requirement mandate. With this enhancement HEALTHsuite will allow health plans to utilize both the SSN-based HICN and the new MBI to locate a member during the transition period.
Medicare is replacing the current SSN-based HICN with a new Medicare Beneficiary Identifier (MBI) starting in 2018. By April 1, 2018 health plans will need to use the MBI in all cases where they currently use the HICN. The Medicare Access and CHIP Reauthorization Act (MACRA), requires all healthcare payers to remove SSNs from Medicare cards to address the risk of beneficiary medical identity theft. Per the legislative requirement, CMS will be mailing out all Medicare cards with the new identifier by April 2019.
“We work closely with our clients and CMS to understand their needs and requirements and to remain ahead of the curve in delivering IT solutions to simplify their administrative and compliance requirements,” stated Robert A. Tulio, President of RAM Technologies. “Delivering capabilities like this, in advance of the CMS requirement date is just another example of what makes HEALTHsuite Mercato and RAM Technologies the premier solution for Medicare Advantage health plans.”
RAM’s solutions HEALTHsuite® Mercato and eHealthsuite™ have proven to reduce the cost of administering Medicare Advantage, Managed Medicaid, the Financial Alignment Initiative (Duals) and the Federal Employee Health Benefit program.
HEALTHsuite Mercato is a highly adaptable, browser-based solution designed to streamline the administration of government sponsored healthcare programs. 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 also offers a flexible and secure web portal, eHealthsuite. eHealthsuite enables members and providers to interact in real time with the health plan through a secure Internet connection. This 24 x 7 self-service functionality lowers administrative costs by reducing demands on a health plan’s customer service personnel.
About RAM Technologies:
RAM Technologies is the leading provider of enterprise claims processing software and claims adjudication software for health plans. For over 36 years RAM Technologies has led the way in the creation of Medicaid Advantage software solutions, Medicare software solutions and software for dual eligible processing (the Medicare-Medicaid Financial Alignment Initiative). RAM Technologies has been recognized on Inc. Magazine’s List of Fastest Growing Private Companies and the Philadelphia Business Journal’s List of Top Software Developers for their advancements in the creation of comprehensive claims management software for Medicare and Medicaid administration. To learn more about RAM Technologies’ healthcare claims processing and managed care software solutions call (877) 654-8810 or visit ramtechinc.com.