Growing your Medicare business requires a platform providing flexibility, ease of configuration, high automation for efficiency, support for MLR requirements, and audit tools to meet the stringent compliance and complex regulatory reporting requirements. In the complex, rapidly changing and highly competitive environment of Medicaid, you need a comprehensive core administrative system you can trust for ease of configurations and the ability to scale for growth. Used by IPAs and MSOs for over twenty years, Citra’s EZ-Suite is the trusted platform to help you address the demands of reform in the most cost effective and efficient manner.
Knowing that your core administrative platform provides the necessary level of compliance and accountability in claims and utilization management is key for IPAs and MSOs on behalf of their client organizations. The rapidly increasing administrative requirements in Medicare, along with need for integrated care management to identify and address high-risk members is key to succeeding in this dynamic market.
Together with our point solutions, EZ-Suite drives compliant, trusted core benefits and claims administration excellence.
Widely used and always trusted, EZ-Suite delivers the most comprehensive and tested Medicare core eligibility, claims, benefit and authorization platform.
EZ-CARE is a dedicated care management module supporting our clients clinical teams’ focus on managing risk, quality of care, reducing costs, and improving patient/member experience. This complete, easy-to-use case management application is designed for the unique workflows of the nurses, doctors, case managers and healthcare administrators engaged in care management roles.
EZ-INFO provides a complete, end-to-end population health platform for delegated IPAs, MSOs and Health Plans managing patients at risk. This solution combines everything from clinical and claims data to biometric and social information in a single location for actionable data, such as managing HCCs, HEDIS, STARS, etc., making program management simple, allowing you to effortlessly maximize revenue and reduce the future cost of care.
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.