Processing Invoices from MDRP and Supplemental Programs
Features and Benefits
- Built-in fully-automated Government Pricing, not requiring users to prepare data feeds every month, or import Government Pricing data calculated elsewhere
- Automated data exchange with DDR for monthly and quarterly submissions
- Imports MDRP ROSI and PQAS invoice files
- Imports statements of account for programs of all types
- Supports all types of federal and state supplemental programs: FFS and MCO, Affordable Care Act Extensions, Supplemental and J-Code
- Supports special pricing for supplemental programs
- Checks invoices and CLD for all Dispute and Adjustment codes, including double-dipping by 340B entities
- Creates ROSI and PQAS in all CMS formats
- Offers extensive Claim Level Data analysis
- Has the most detailed State Utilization Analysis
- Integrates with ERP to find new or terminated products automatically, to find outlier customers and to compare volume sold to a state with the reported utilization level
- The system comes with numerous built-in reports, showing all details about rebates paid for each type of a program, to each state, for each NDC and quarter; outlier customers, full audit outlines for all Government Pricing calculations, etc.
- Stores the whole history for all government pricing numbers and invoice processing
- Automated submission of NFAMP and FCP numbers
Relasoft Medicaid Solution is a reliable and all-encompassing tool that covers all aspects of processing invoices from Medicaid Drug Rebate Program and state supplemental programs in a CMS-compliant and a cost-efficient way.