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
As a SaaS-based platform, CMSPricer’s Medicare claims repricing platform centralizes clinical, financial, and administrative processes to enable the optimization and delivery of the competitive edge that Third Party Administrators and payers require for cost-effective benefit administrations. This is a web-based application that facilitates the electronic transmission of one of the best medical claims processes by…
Worried About Medicare Claim Denials? Check Out How Our SaaS Medicare Claims Editing Tool Can Assist You
In order to control healthcare costs and ensure satisfaction among employers and providers, payers are crucial. Their goal is to process medicare claims as precisely and efficiently as possible to balance these competing objectives. Increasing healthcare costs and stagnant profits mean payers have to make sure medicare claims processing is smooth. If you make any…
Are you looking for a Medicare repricing tool that can eliminate your rebilling errors in Medicare claims? Looking for such a tool to provide claim line level detail and summaries of Medicare claims repriced to Medicare rates, easily, quickly, and flawlessly? The Medicare Administrative Contractors (MACs) complain that they often see Medicare claim reports replete…