MarketProminence (MP) Financial Reconciliation Solution
MedHOK’s MP Financial Reconciliation module comes out-of-the-box, fully compliant with CMS Medicare and state Medicaid rules and can be easily configured to meet plan-specific business requirements. This solution is offered as an add-on module for MP Enrollment, providing the most rigorous system in the industry to ensure compliance and timely processing for enrollment reconciliation and billing procedures. The solution allows plans to reconcile enrollment and payment at the member level to remediate differences and ensure maximization of revenue as well as track expected revenue at multiple plan levels.
Customers use this solution to:
- Intake financial files from regulatory/governmental authorities to reconcile enrollment and payment information
- Generate an organization expected payment using MarketProminence’s proprietary payment calculation methodology
- Track monthly payment from CMS and manage income
- Identify dollar variances and update member information to resolve open issues
- Ensure compliance with CMS mandatory attestation reporting and signature
Have You Considered …
With MP Financial Reconciliation, you may also want to manage related functionalities on one platform to ensure compliance, improve efficiency and productivity, and deliver better quality care. Consider adding these MedHOK solutions:
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