We Help Plans Navigate CMS Reporting Complexities
By modernizing the collection and management of reporting to CMS, we help plans ensure compliance with regulatory requirements, reduce the number of errors received on submissions, and minimize dependencies on error resolution.
Payment Integrity: Our Section 111 Reporting Solution
- Helps plans remain compliant with CMS
- Improves pre-payment accuracy, resulting in more accurate primacy determinations
- Reduces the amount of post-payment discrepancies
- Minimizes dependency on recovery vendors
- Provides clients full transparency into the analytics and outcomes of our evaluation
Proactively correcting inaccurate primacy determinations reduces reliance on post-payment analysis and recoveries.
Reduce Administrative Burden
Our propriety analytics and modeling significantly reduce health plan efforts.
Looking both ways to identify and correct under- and overpayments reduces potential compliance exposure.
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Revenue and Payment Integrity
A Powerful Foundation
Our Data Management Platform
Pareto’s Data Management Platform, the foundation to our solutions, is built around data lake, artificial intelligence, and open source big data technologies to allow us to effectively ingest data in all formats and types at scale, organize them with appropriate data governance mechanisms within our data catalog, and provide efficient configuration capabilities to democratize data access and analytics.LEARN MORE