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ikaMedicareGateway
Speed Medicare Membership Growth Through Highly Automated
Enrollment Processing and Streamlined Reconciliation
Medicare Advantage plans struggling to grow rapidly in the face of cumbersome, slow and error-prone Medicare enrollment and membership and payment reconciliation processes now have a single, powerful solution at their fingertips: ikaMedicareGateway. Available through a unique partnership with Government Works, a CMS contractor, ikaMedicareGateway is an innovative Web-based solution that automates the complexity of CMS data exchanges, delivering greater accuracy and speed. The result is dramatically reduced administrative costs, increased compliance conformance and higher levels of member satisfaction through more streamlined process management. A hosted solution, ikaMedicareGateway can be rapidly deployed to help plans:
Enrollment Pathways Module The Enrollment Pathways Module reduces application processing time by as much as 80 percent. First, real-time eligibility and entitlement queries — rather than batch processing — significantly minimize the time it takes to determine whether a member is eligible for enrollment. Then, built-in plan-specific/CMS Chapter 2 validations and instantaneous feedback on application completeness creates virtually error-free membership accretion files, resulting in significantly reduced rejection rates and rework. In addition, information is fully integrated with and auto-populates enrollment screens, dramatically increasing efficiency. Clients using ikaMedicareGateway have achieved new enrollment success rates of over 99 percent. Downstream benefits include reduced enrollment-related discrepancies and more timely payments. Reconciliation Module The Reconciliation Module is the ultimate in automated, streamlined and integrated reconciliation processing. With daily, weekly and monthly reconciliation, plans remain in compliance with CMS and increase the accuracy of membership, enrollment and payment data. Fewer discrepancies and more efficient discrepancy resolution combine to significantly reduce the resources required to perform time-consuming research and rework. Key features of the Reconciliation Module include:
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