Revenue360 is a comprehensive financial and membership reconciliation
solution
Features
- Reconciliation: CMS monthly membership and payment data
to plan membership data and plan-expected payment
- Discrepancies: identifies enrollment data and payment
discrepancies; Automates discrepancy research
- Adjustment and Correction: CMS and Plan
- Payment Tracking: CMS and Plan payments at the Plan, PBP
and member level
- Account Receivables: reports and extracts feed into the
financial system; Compliance with CMS 45-day attestation
- Comprehensive Audit and Reporting
- Part D Annual Reconciliation & Forecasting
- Web-enabled and Batch interfaces
- Robust Reporting (Plan / Member and CMS Data Management
Benefits
- Stays compliant with the CMS 45-day attestation requirement
- Identifies demographic and financial differences between Plan data and CMS
data
- Provides an early trigger to identify financial mismatches for
premium
- Enables Billing, Part A, Part B, Direct Subsidy and Coverage gap
- Enables you to automatically update your financial system with payment
extracts and customized G/L feeds
