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Self Service Medicare and Medicaid Solutions Repricing Made Easy

Most Accurate, Highly Secure and Lowest Cost Solutions on the Market

Why CMSPricer to re-price your Medicare and Medicaid claims?

No Set Up

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 Hassle

No contracts, No sales people…..pre-pay purchase with volume discounting and easy online payment processing.

Accurate

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.

Security

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. 

Availability

As long as you have access to the Internet, you can run 24/7/365 securely *excluding short windows for system maintenance.

Our Clients

We serve Payers, PPOs, TPA’s, BPO’s, Self-Funded Employers and Auditing Firms.

New Users 5 Claims FREE no commitments

NO SOFTWARE TO INSTALL

NO COMPLICATED CONTRACT TO SIGN

ACCURATE SaaS CLAIMS PROCESSING

EASY MANUAL, BATCH OR EDI CLAIMS ENTRY

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!”  

Davis-Farr

Our latest blog update

Solution to Drive Compliant and Cost-efficient Medicare Reimbursement Rates Easily and Accurately

By pwsadmin | November 18, 2020

Medicare billing can be arduous and Medicare claims repricing can be challenging. If they are put together and one works on them without proper training, the result can be a loss of revenue. With the use of an easy-to-use, SaaS-based medicare claims repricing tool, an organization can mitigate the entire claims repricing process and optimize…

Value Based Healthcare

By pwsadmin | November 3, 2020

The state of US healthcare concerns us all. The rising costs are the principal concern and many of us wonder why do we spend more than other industrialized nations.  Leaving aside the assertion that the “other industrialized nations” provide the same level of care, the rising costs are definitely a problem.  Many “sophisticated” schemes were…

3 Ways Our Software Can Streamline Your Medicare Claims Repricing

By pwsadmin | October 21, 2020

Any business that handles Medicare and Medicaid claims repricing regularly knows the pain, the labor, and the enormous time the task tends to take. Ensuring that those who are involved with the task have up-to-date and accurate information and that every person knows what needs to be done next. It is especially true for those…