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HEALTHsuite Mercato

PACE Plan Administration

Maximize Automation in Your PACE Administration

 

The Program for All-Inclusive Care for the Elderly (PACE) offers comprehensive long term services for Medicare and Medicaid enrollees.  The breadth of services and the complexity of the benefit design creates operational challenges for plans administering this business. 

 

HEALTHsuite Mercato is highly flexible and can automate even the most complex benefit structures.  This adaptability and precision accuracy increases automation and streamlines processing for the PACE program.  Following are some of the features available with HEALTHsuite Mercato:

  • Coverage for Medicaid waiver services

  • Support for beneficiaries in group home settings including billing for room and board

  • Identification of support teams by beneficiary

  • Support for adult day care, in-home care, and personal care  

  • Billing for beneficiary cost-shares when the beneficiary is not fully dual-eligible   

For complete information on HEALTHsuite Mercato's functionality to support PACE administration, contact us.

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All content 2013, RAM Technologies, Inc. All rights reserved. Information in this web site is subject to change without notice. RAM Technologies makes no guarantee and has no liability for incorrect or outdated information contained in this site. HEALTHsuite is a registered trademark and eHealthsuite is a trademark of RAM Technologies, Inc. IBM is a registered trademark of International Business Machines Corporation. All other brand and product names are trademarks or registered trademarks of their respective companies. The Claims Processing Software and Healthcare Benefit Administration Solutions of RAM Technologies have been successfully implemented at health plans and benefit administration companies throughout North America and offer the best value among all health care claims management systems.

                   

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