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Medicare Section 111 (SCHIP) data capture and reporting

This new module integrates the Section 111 data gathering requirements into the W5 claims reporting and processing system and includes features such as:

  • Unlimited RRE identification profiles
  • Medicare beneficiary/claimant lookup (CMS query)
  • CMS Confirmation notification
  • Automatic CMS query and claim transmission per RRE according to their assigned quarterly reporting timelines
  • Section 111 data elements
  • CMS reporting and response status with full transmission archive and logging
  • 14 day reporting countdown reminder
  • Quality Control reporting for claims needing CMS data entry/update, claims awaiting transmission, CMS claim rejections, etc.

This module is capable of handling both ICD9 and ICD10 coding.

 

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