Reconciling Cap Pays for Itself
Cap Check™ is an essential tool for medical groups with capitated contracts to verify that they are receiving correct payments. By reconciling actual payments with expected payments on a member/month basis, you can verify whether you are being paid correctly, and make corrections when you are not.
Clients have reported immediate returns on investment due to substantial recouped payments as a result of using Cap Check.
Cap Check key features:
- Easily load member/month payment and expected payment data.
- Expected payments are calculated automatically based on eligibility data and rate tables.
- Payments are prorated automatically for partial months.
- Retroactive payments or eligibility changes are reconciled automatically.
- Easy-to-read reports present payment exceptions in detail and summary formats.
- Audit screen allows for flexible viewing or exporting of all payment data.
