A Comprehensive Revenue Management system for Payers
Accurate and timely reconciliation of Medicare enrollments and payments
Schedule a DemoMedAdvantage360
Revenue360
- 45 days Accurate & Timely CMS attestation
- Audit Support
- Part D Annual Reconciliation & Forecasting
- Identify and Track financial differences through resolution
- Tracking payments and discrepancies at Plan and Member level with Online Dashboards
Wipro's Revenue360 is a fully automated reconciliation solution of CMS Beneficiary enrollment & payment data with Plan membership data and expected payments.
Over 25+ Health Plans and 80+ MAPD Contracts use Revenue360 to maximize their revenue by recovering lost payments. The solution enhances the overall staff productivity and satisfaction.
Tracks CMS, Plan Payments and Discrepancies at the plan, PBP, and member level
Reconciled annually
Seniors & Dual-eligible
Adopters
Fully automated reconciliation of CMS Beneficiary enrollment & payment data
Revenue360 Business Benefits
Enterprise solution to handle both Medicare and Medicaid membership
Fully integrated and configurable CMS compliant solution with capability to turn on/off features as desired
Ability to intake a variety of CMS files and process data as per CMS requirements
Imports Plan Bid data for use in Payment calculations
Keeps individual ledger accounts for each Member
Highly automated configurable workflow for managing Discrepancy life-cycle
Standardized Reporting & Audit support functionality
Implementing transformational Initiatives along State and CMS Regulatory Changes and Operational enterprise governance for both the Medicare and Medicaid
Revenue reconciliation for a leading Multi-state Health Insurer
Read MoreEnterprise solution to automate and streamline Financial and Membership reconciliation
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