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How CMSPricer’s Contract Manager Transforms Medicare Repricing with Automation, Precision, and Control
Navigating Medicare contracts can be a daunting challenge for payers, third-party administrators (TPAs), and self-funded employers. With shifting CMS pricing rules and evolving provider networks, manual processes often lead to costly errors and delays. That’s where CMSPricer’s Contract Manager module comes in—a transformative SaaS-based solution that automates contract configuration, fee schedule management, and claims pricing. By…
What’s the Typical ROI for TPAs Using this Contractor Manager Claims Feature vs. Manual Medicare Repricing?
Third-Party Administrators (TPAs) handling Medicare claims know the inefficiencies of manual repricing – delays, errors, and rising operational costs. Automating the process with CMSPricer’s Contract Manager transforms workflows, delivering measurable ROI through speed, accuracy, and cost control. The Cost of Manual Repricing Manual Medicare repricing is time-intensive. Staff must: These steps slow turnaround times and…
Saving Time & Cost of Medicare Repricing with a New Editing Feature
Managing Medicare claims is a significant challenge for TPAs and auditors due to evolving CMS regulations and coding complexities. CMSPricer provides an automated API solution that helps healthcare organizations validate claims before submission, reducing denials and boosting first-pass acceptance rates. Why Do Medicare Claims Get Denied? Medicare TPAs and auditors often face challenges with denied…