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 Medicaid Agency must ensure the system must pay within 30 days of the date of receipt 90 percent of all clean claims from practitioners who are in individual or group practice or who practice in shared health facilities. Clean claim are those that can be processed without obtaining additional information from the provider of the service or from a third party. The date of receipt is the date the agency receives the claim, as indicated by its date stamp on the claim. The date of payment is the date of the check or other form of payment.
The SMA suspends payments for waiver services furnished to individuals who are inpatients of a hospital, nursing facility or ICF/MR and sends notice to the provider of the admission. (If the State has approved personal care retainer, or respite services provided in an ICF/MR building but not covered under the ICF/MR benefit, an exception may be made.)
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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