RDS Data Management

Cost Reporting Database Service

We have found that many pharmacy benefit managers, insurance companies, or third party administrators will not or do not provide the CMS required cost reports that are vital to collecting your subsidy. RDS Services LLC has the ability to take “unadjusted” prescription drug data and create subsidy cost reports that are ready for submission to CMS.

Managing Eligibility

Maximize Retiree Participant Count

  • Match Social Security/Medicare numbers
  • Track status of participants
  • Identify discrepancies between covered retiree list, plan sponsor records & cost reports
  • Investigate CMS rejection records
  • Monitor retiree plan changes
  • Reconcile retiree lists

RDS Eligibility

Our goal is to capture your entire retiree population and maximize the participant count for your RDS submission ...RESULT! More Subsidy!

These services include:

  • Capture spousal data
  • Identify Medicare disableds
  • Reconcile retiree lists to CMS lists
  • Investigate CMS rejections
  • Monitor plan changes & modify RDS application accordingly

RDS Record Keeping

RDS Requirements

Under CFR 423.888(d) the RDS plan sponsor must maintain and furnish to CMS or the Office of Inspector General upon request, the records documenting its costs and other relevant information used for calculating your Retiree Drug Subsidy amount for six years. We will provide you with a CD-ROM file for each application year that will include all CMS required audit documents. RDS Services will also represent you in the event of a CMS audit.

Standard Reports Provided

  • Rx claims reconciliation
  • Excluded drug review
  • Retiree list audits
  • Member verification
  • Key metrics tracking
  • Part B drug analytics
  • Ad-Hoc reports
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