Managed Care Workflow TM

Enterprise-Scale Payer Fee Schedule Management with CMS Integration and EHR Connectivity



Our Platform


MaCaW is a robust enterprise solution purpose-built to simplify and automate the management of payer-specific fee schedules across all clinic and facility locations. It centralizes the configuration and deployment of reimbursement templates, ensuring every claim is accurately aligned with payer rules. MaCaW reduces the manual workload for fee schedule managers, streamlines regulatory compliance, and improves revenue accuracy across the full claims lifecycle.


Key Features Include:


Centralized Assignment

Centralized Assignment

Assign payer templates by facility or region.

Automated Quarterly Tracking

Automated Tracking

Monitor payer updates each quarter.

Custom Rate Factors

Custom Rate Factors

Set reimbursement logic using custom rates.

Smart Template Tracking

Smart Template Tracking

Auto-import CMS reimbursement files.

CMS Integration

CMS Integration

Fetch ASP data and update schedules.

ASP Auto-Retrieval

ASP Auto-Retrieval

Auto-recalculate payer schedules via CMS.

Dynamic Re-Computations

Dynamic Re-Computations

Sync bidirectionally with EHR charge codes.

EHR System Integration

EHR System Integration

Connect with scrubbers and billing systems.

Downstream Claim Sync

Downstream Claim Sync

Integrate with claim scrubbers and PM systems for real-time, accurate claims.

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