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Archive for April 2021

Preferred Provider Organization (PPO) & Facilities Now Can Price Any Claim at Any Specific Rate Automatically!

By pwsadmin | April 19, 2021

Healthcare prices set by fee-for-service have a direct impact on the prices paid by insurers throughout the health care system. But one of the most significant changes in the health care delivery system in the past few years has been the shift away from traditional FFS payment methods to managed care arrangements. It has been…

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Medicare Claims Editing Simplified and Streamlined to Save Your Time and Investment

By pwsadmin | April 9, 2021

Medicare claims repricing is the application of the contract terms to the billed charges between the hospital or the physician practice and the insurance network. And the bill charges are from the healthcare facility or the physician group.  As the “claims” is received, it is sent for adjudication to verify certain claim criteria, and then…

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Recent Posts

  • Revolutionize Your Medicare Advantage Claims Repricing Business with CMSPricer
  • Why Healthcare Providers Should Utilize a Repricing Medicare Claims Tool for Greater Pricing Transparency
  • Transforming Your Claims Repricing Process: The Top Benefits of a SaaS-Based System
  • Save Time & Money While Optimizing Price Transparency With a SaaS-based CMS Repricing Tool
  • Stay Ahead of the Curve: Use An Intuitive Medicare Repricing SaaS Tool for Quick Configuration

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