Archive for August 2025
Finally, a Solution for Complex Contract Claims: The CMSPricer Contract Manager
For Payers, PPOs, TPAs, BPOs, Self-Funded Employers, and Auditing Firms, the task of pricing claims at specific, predetermined rates has long been a source of administrative headache. You’re not just dealing with Medicare’s complex fee schedules; you’re also juggling multiple, unique contracts, each with its own set of rules, provider networks, and rate increases. The…
Read MoreHow Automated Medicare Claims Repricing Can Improve Your Payer Efficiency
Medicare claims repricing can be a major pain point for many organizations, especially when handled manually. Payers, PPOs, TPAs, BPOs, Self-Funded Employers, and Auditing Firms often struggle with inefficient, outdated processes that lead to unnecessary errors, delays, and financial losses. The biggest challenge is the manual handling of Medicare pricing and contract management, which leaves…
Read MoreHow Automated Medicare Repricing and Contract Management Help Payers and Employers Save Time and Money
Managing Medicare repricing and contracts can be a daunting task for Payers, PPOs, TPA’s, BPO’s, Self-Funded Employers, and Auditing Firms. The traditional, manual processes not only take up valuable time but also introduce significant risks, such as delayed payments, overpayments, and downstream denials. That’s where CMSPricer comes in. Why Manual Medicare Repricing Doesn’t Work For…
Read More