Medicare Pricing and Contract Management Solutions Made Easy

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

Why use CMSPricer to re-price and edit your Medicare 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 COMPLEX CONTRACT TO SIGN

USA OWNED AND OPERATED

100% ON-SHORE RESOURCES

ACCURATE SaaS CLAIMS PROCESSING

EASY MANUAL, BATCH OR API Claims Integration Claims ENTRY

Why our clients value us:

Our latest blog update

Navigating Medicare Repricing: Safeguarding Your Financial Health

Navigating Medicare Repricing: Safeguarding Your Financial Health

By pwsadmin | December 20, 2024

Effectively managing Medicare claims can be an intricate endeavor, and the intricacies of claim repricing often add to this complexity. Without proper training, these challenges can lead to significant revenue losses for organizations. Fortunately, user-friendly revenue cycle management software can streamline claim management. However, in-home care organizations must grasp the fundamentals of claim repricing with…

What Makes CMSPricer the Go-To Solution for Hassle-Free Medicare Pricing and Contract Management?

By pwsadmin | December 6, 2024

Managing Medicare pricing and contracts can be challenging for payers, TPAs, and self-funded employers. CMSPricer, a leading SaaS platform, offers a streamlined, secure, and cost-effective solution for Medicare claims processing. Here’s why CMSPricer stands out for healthcare cost management: 1. Quick and Easy Access with Zero Setup CMSPricer offers a web-based architecture that eliminates the…

Reference-Based Pricing Solution For Medical Costs

Deciphering the Mystery of Reference-Based Pricing: An Effective Strategy to Combat Escalating Medical Costs

By pwsadmin | November 18, 2024

Given the rising costs of medical care, it is imperative to find a solution that addresses the needs of both employers and employees. Reference-based pricing (RBP) presents a reimbursement method that leverages Medicare rates to establish fair prices for medical services. This approach warrants careful consideration for its potential benefits to all involved parties. Traditional…