Why use CMSPricer to re-price and edit your Medicare claims?
Web-based with results returned in seconds priced at 100% of Medicare rates. Hand Key Entry or Auto Batch/EDI Uploads, Easy imports/exports.
No contracts, No sales people…..pre-pay purchase with volume discounting and easy online payment processing.
Frequent engine updates with latest CMS policies and rates to ensure accurate claims pricing. The CMS.Gov typically has a 3 month lag time and incomplete pricing results. We price all PPS types of Institutional and Professional claims including claim editing for Referenced Based pricing.
No PHI or claims data stored. Utilizes contemporary cloud-based security, including EV SSL Certificate, 5HA2, and 2048 bit encryption (strongest on the market). Fully HIPAA and ANSI 837 version 5010 compliant. Every user has their secure login and account.
As long as you have access to the Internet, you can run 24/7/365 securely *excluding short windows for system maintenance.
We serve Payers, PPOs, TPA’s, BPO’s, Self-Funded Employers and Auditing Firms.
Why our clients value us:
“CMSPricer meets our stringent CMS Medicare claims accuracy requirements for auditing claims from over 50 Medicare Advantage plans. Using the CMSPricer SaaS based tool and interface allows us to effectively batch process with ease and precision. Great partner!”
Our latest blog update
How Effective is The SaaS-Based Medicare Repricing System, CMSPricer, at Empowering Healthcare Payers?
A growing healthcare cost environment demands providing consumers with the right information and tools to make informed healthcare decisions. CMSPricer, an tool that helps beneficiaries understand medical expenses, has received both praise and criticism. We explore here how CMSPricer empowers healthcare payers to make cost-conscious healthcare decisions, ultimately aiming for more transparent and patient-centered healthcare.…
Most network agreements establish discounts and billed charges in an arbitrary manner. There is not much relationship between them and the actual cost of the procedure, and they can vary widely by location, provider, and many other factors. Reference-Based Pricing (RBP) In order to control rapidly rising healthcare costs, self-insured companies use reference-based pricing (RBP).…
The 8 Most Common Medicare Billing Mistakes You Can Avoid By Leveraging CMSPricer – SaaS-based Medicare Repricing Tool!
In treating adults and Medicare-eligible beneficiaries, operating a private practice that provides occupational, physical, and/or speech language therapy has its own unique set of rules. The federal government continuously focuses on these three specialties, so it’s important for your practice to be up-to-date on Medicare policy. You can reduce the chances of Medicare repricing mistakes…