Medicare Part D

Medicare Part D is time consuming and complicated for PACE organizations. Peak PACE Solutions can reduce your workload and ensure timely submissions. Peak PACE Solutions Medicare Part D services include:

  • Import all prescription claims by member from the pharmacy or PBM
  • Generate and provide access to utilization reports
  • Provide compliance with CMS Part D audit element CL02 – Data Elements Needed to Link Medicare Parts A, B and D Data
  • Submission of Prescription Drug Event (PDE) Data to CMS, monthly
  • Correction and resubmission of any errors in PDE data if needed
  • Submission of return files and Rx HCC MOR reports to PDAC
  • Monthly Plan to Plan (P2P) reconciliation and payments
  • Monthly TrOOP notifications to disenrollees as required
  • Provide guidance with annual Part D reconciliation submissions and attestations
  • Provide necessary data for monthly Part D reserve calculation
  • Upload your Medicare Part D bid and all associated filings via HPMS

To learn more about our Medicare Part D services or to schedule a system demonstration, please contact us at 720-204-3361 or info.peakpacesolutions.com.

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