CMS PI Warehouse

BPS Resolver introduces the CMS Program Integrity Warehouse; the most comprehensive CMS Payment Auditing, Policy and Appeals Management Solution available for healthcare providers, legal firms and consultants.

BPS Resolver CMS PI is a one of a kind repository of CMS Criteria Based clinical documentation, continuing education resources, assessment and audit templates and more. Coupled with leading edge workflow and document management technology, CMS PI is your ultimate resource to prepare for, defend and manage all government or payer claim audit reviews including:

  • Medicare Recovery Audits (RAC audits)
  • Program Safeguard Contractors (PSC audits)
  • Zone Program Integrity Contractors (ZPIC audits)
  • Medicaid Integrity Contractors (MIC audits)

The CMS (Center for Medicare & Medicaid Services) Program Integrity Warehouse gives you access to all the documents and precedents that impact the probability of receiving payment from Medicaid.  Using this documentation you can avoid costly RAC audits and minimize the chance of government claw backs.

  • CMS Payment Integrity
  • Medicaid Payment Criteria
  • Guidance on what is required by Medicaid for payment

This Medicaid Payment Integrity application provides self-audit and appeals templates that can be leveraged by internal audit to identify and assess potential financial exposure. Pre-built reports and dashboards can help you understand patterns of risk within the organization allowing easy performance improvements resulting in huge savings!

To bring you this Medicare changing solution BPS Resolver has partnered with Castle Rock Medical Group to offer our clients world class software and content together.

  • Over 10,000 CMS and CMS contractor resources, CMS rules & regulations, QIO / MAC guidance, online self-audit templates, continuing education programs, CMS appeals documentation, published clinical research and more
  • Comprehensive CMS Payment Criteria including detailed focus area requirements for billing, documentation and claims submission
  • Easily manage all CMS and other third-party payer audits, internal self-audits, CMS appeals and continuing education programs with one simple, powerful tool
  • Rapidly build CMS Criteria-Based Case Reviews to improve your chances for success
  • Powerful reporting and individualized dashboards provide instant updates for compliance professionals, providers and management
  • Never miss a deadline with automated workflow and notifications
  • Central repository of all relevant documentation including scans, request letters and other appeals correspondence
  • Hosted web based application means fast set-up, easy access and secure browser-based connectivity for your team

Want to Learn More?

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Contact Us

To request more information about BPS Resolver CMS PI, contact us now. To speak with a BPS Resolver representative, call us at 1-888-891-5500.