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Medicaid

Maximizes Revenue by eliminating revenue leakage and risk non-compliance throughout the institutional contracting process.

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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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medicaid
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Model N solutions transform the revenue lifecycle from a series of disjointed operations into a strategic end-to-end process.

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