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|Version 6.0 has arrived, making Merlin MRA better than ever. Check out the highlights below and learn more about what Merlin MRA can do for your Medicare Advantage business.|
|Merlin Medicare Risk Adjustment 6.0|
Medicare Risk Adjustment
The Medicare risk adjustment payment system uses clinical coding information (HCCs) to calculate risk premiums for Medicare Managed Care Organizations (MCOs). The CMS Medicare reimbursement system is fairly complicated and requires the MCO to be able to monitor historical, current and future data in order to determine reimbursement. Medicare Advantage Plan Data Management and Risk Adjustment process in itself does nothing to maximize your Medicare reimbursement, it simply allows you to monitor and hopefully estimate your future and mid year payments. In order to maximize your Medicare reimbursements you will need to conduct three other activities:
The bottom line is, that even if a plan has a sound knowledge of the reimbursement process, it will require significant effort and efficient tools to generate a positive impact on CMS reimbursement.
Relying on a trusted vendor for these technological and administrative aspects allows you to focus on your core competencies: marketing and enrollment, educating providers on new programs and community outreach. STORAN offers all the necessary technology out of the box freeing up your valuable IT resources. Their comprehensive Medicare Risk Adjustment software provides you with everything from automated Health Risk Assessments thru financial performance and modeling and everything inbetween. It is no wonder that they have processed over two point eight million charts reviews. STORAN can provide you the exact solutions you need to maximize your plansí Medicare Advantage reimbursement.
Storan Technologies Inc., offers wide range of Medicare Risk Management services to Medicare Advantage Plans around United States. Storan Technologies Medicare Risk Management product is known as Merlin Medicare Risk Adjustment. Medicare Advantage Plans utilize Merlin Medicare Risk Adjustment for:
Merlin Risk Adjustment is also available in desktop version for retrospective audits. It can work without internet connectivity. It only requires internet connectivity for synchronization with Storan secure data servers in order to retrieve and post retrospective audit data
Call us today at 636.477.7701 option 1 to find out how you can implement a HCC Management system in as little as four days or for a live demo of Merlin Risk Adjustment
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