Medicaid
Maximizes Revenue by eliminating revenue leakage and risk non-compliance throughout the institutional contracting process.
Features
- Medicaid claims management
- Automated disputes and adjustments
- Pre-loaded 50 URA formulas
- Formula builder
- Validations and reasonability tests
- Ad-hoc reporting
- Regulatory update packs to stay current
Benefits
- Comply and remain current to government regulations
- Ensure timely processing to avoid interest and manage the inflation penalty on generic products
- Reduce overpayments in Medicaid rebates through aggregated or Rx-level utilization data validations
- Diminish fraud, waste, and abuse with predictive analytics
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