CMS' First Reconcilation Deadline Approaches!

This is the peak season for both enrollment and the reconciliation that follows.  The numbers can quickly overwhelm plan staff, especially if they are not using adequate tools to manage the work volume.

When an enrollment discrepancy enters a work environment, it takes on a life of its own. Without a tool that provides actionable data, real-time reconciliation and seamless workflow management, it is virtually impossible to resolve and report on these transactions. You may have a vendor that processes your enrollments and discrepancies.  But their service ends at the monthly report.  You need more.

Gorman Health Group can help:

• Identify discrepant cases for resolution through actionable data in this hectic season;
• Provide real-time reconciliation of discrepant cases before they hit the MMR;
• Accelerate the assignment and research of cases using workflow engine technology;
• Create a quality assurance process to eliminate inefficiencies in the enrollment season;
• Provide resources to resolve outstanding enrollment rejections before the approaching deadline.

We can help track your enrollment activities on a case-by-case basis and set priorities using tools to focus our efforts on what you need most -- and then leave those tools behind to make your team more efficient. The result is more money in your pocket from CMS and exceptionally compliant business processes.

For more information on how we can help your organization recover missing member months and the associated capitation dollars, please contact Aaron Eaton at 717-993-9012 and aeaton@gormanhealthgroup.com  or John Price at 215-262-7792 and jprice@gormanhealthgroup.com.