ReadyCert was built to drive Certification projects at lightning speed. ReadyCert treats your project RTM like a Certification checklist, and treats your Certification checklist like a project RTM. Using the familiar process of requirements fulfillment, ReadyCert empowers your Enterprise to recycle the work of Certification by transforming checklist items and solution requirements into relate-able data elements. When loaded in ReadyCert your system review criteria, fulfillment responses, evaluations and artifacts are quantified and tracked across projects and enterprises to provide deep intelligence and insight into your Compliance narrative.
The system maintains multiple provider specific reimbursement rates with begin and end dates, consistent with state policy. Examples include: per diems, level-of-care per diems, case mix, percentage-of-charge rates, rates based on level of care, preferred provider agreements, managed care agreements, volume purchase contracts, or other cost-containment initiatives with begin and end effective dates.
The system provides and maintains the capability to monitor services for suspected abusers using a �pay and report�, lock-in, or some equivalent system function that will provide reports of the claim activity for these Members as scheduled or requested.
ReadyCert is the Software as a Service (SaaS) answer to Compliance! Take the tour with one of our subject matter experts with you or your entire team. You'll learn how ReadyCert will save your team time and effort when performing compliance work by automating mundane tasks and streamlines reporting across projects, enterprises and frameworks. Our team will show you how ReadyCert improves consistency and eliminates duplicate work scenarios, how it tracks vendor information and how controls are mapped to your enterprise's business areas.
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