RREWorkshop delivers complete solutions for Medicare Secondary Payer Reporting (MSP) as required by the Medicare, Medicaid and SCHIP Extension Act (MMSEA).
To date, the marketplace has provided a few solutions for MSP reporting; therefore we present the premiere data collection, data remediation and reporting application designed as a total compliance package for MSP reporting as required by the MMSEA for Workers’ Compensation, Liability/no-fault auto and Group Health Insurance payers.
RREWorkshop can also be enhanced by am optional claims data transformation service to assist companies with extracting and transforming the required claims data into formats required by the RREWorkshop product. We prepared to service all type of insurance companies – small, mid to large sized, insurance carriers and self-insured employers who handle Workers’ compensation, Liability and group Health Claims.
- Ability to accept client data in multiple formats (CSV/Flat Files/XML/XLS/Delimited/Direct Extract from database)
- Ability to Work with multiple RRE’s
- Determine Medicare Eligibility via Eligibility Inquiry to determine the eligibility
- Ongoing support to make changes to updates from CMS user guides
- Database that maintains history of all transactions reported
- Transformation engine configured to format data to COBC format
- Ability to Create the batch, enter Review / Edit / Manual Add/ Delete data before export
- Ability to View History of Past Submits to CMS
- Admin capabilities to control client Logins
- Ability to accept Manual Data Entry for Eligibility Inquiry and Claim Input
- Validation engine to validate data against reporting rules
- Ability to correct data before export
- Ability to Import and view CMS Response files
- Ability to track MSP response files, interpret it and associate it with the input files (batches)
- In-house Installation of application (uses SQL Server 2005)
