Archive for April 2023
Why Healthcare Providers Should Utilize a Repricing Medicare Claims Tool for Greater Pricing Transparency
The healthcare industry has long struggled with pricing transparency and accuracy, leading to confusion and frustration for patients. However, the recent CMS report highlights the efforts of hospitals and health systems to implement price transparency policies to help patients understand their costs. According to CMS, a higher percentage of hospitals in 2022 (70%) complied with…
Read MoreTransforming Your Claims Repricing Process: The Top Benefits of a SaaS-Based System
As the Medicare enrollee population is going to increase from 35% to between 45-55% by 2025, the relationship between payers and providers is often put to the test when addressing Medicare claims from different ends of the payment continuum. A more flexible approach than traditional fee-for-service is needed to meet the new healthcare market requirements,…
Read MoreSave Time & Money While Optimizing Price Transparency With a SaaS-based CMS Repricing Tool
A SaaS-based CMS repricing tool works by analyzing Medicare claims submitted by healthcare providers and comparing them to Medicare’s fee schedule. The fee schedule is a list of prices that Medicare has established for different medical procedures and services. If the provider’s claim is higher than the fee schedule price, the tool will re-price it…
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