Archive for January 2022
CMSPricer Editing Feature Allows Rebilling of Incorrect Medicare Claims without Redundancy
Medicare repricing systems are designed to enable healthcare payers and auditing firms besides others to streamline the Medicare claims repricing processes. These systems offer a number of advantages, including increased efficiency and improved data accuracy. CMSPricer is one of those Medicare repricing systems that healthcare payers, auditing firms, PPOs, TPA’s, BPO’s, self-funded employers among others…
Read MoreImprove Healthcare Decisions With Medicare Claims Repricing
Healthcare costs are on the rise, and employers are struggling to keep up by finding high medical claims, minimizing them, and understanding how they affect the health plan. As a result of low transparency and complicated relationships among employers, brokers, and bidders, it is increasingly difficult to accurately compare costs across health plans and networks.…
Read MorePayers Can Avoid Redundancy in Rebilling Error-ridden Medicare Claims By Using CMSPricer
The Medicare Administrative Contractors (MACs) report periodically the most common claims errors they encounter. A few examples of the error-driven Medicare claims that occur on claims are as follows that MACs send to the payers. The claim is duplicate in nature. The primary identifier of the referring physician is missing or incorrect. Invalid or inconsistent…
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