How Can a SaaS-Based Medicare Claims Re-Pricing Solution Help You Save Time and Money While Preventing Overpayment?
Amidst growing competition, more than 17 million beneficiaries – representing 31% – now opt for private payer-offered Medicare Advantage plans. Consequently, payers are vying to innovate and expand into lucrative markets.
What Drives Success for Payers?
To succeed, payers need the precision of an automated CMS re-pricing solution that aligns with the latest policies and rates. Manual efforts fall short, often leading to inaccuracies and inflated costs. The need for automation is clear.
Leveraging SaaS and Cloud Technology
Many payers are turning to cloud-based Software-as-a-Service (SaaS) platforms to streamline creating CMS-compliant data. These tools are designed to integrate seamlessly with existing systems, accelerating the re-pricing process for Medicare and Medicaid claims while safeguarding sensitive member health information (PHI).
Key Advantages of a SaaS-Based CMS Re-Pricing System
Healthcare payers, TPAs, BPOs, self-funded employers, and insurers can reap the rewards of such systems. Key features include intuitive claims data editing, reliance-free on IT, and constant CMS model updates.
Which CMS Re-Pricing Tool Do Experts Recommend?
Stand out with CMSPricer – trusted for high accuracy, effortless batch processing, and compatibility across over 50 Medicare Advantage plans. Enjoy seamless claims import/export and leverage various processing options without additional software.
The platform supports all PPS types of institutional and professional claims, including reference-based pricing edits. Users can also import and export claim files effortlessly via a custom interface.
Benefits of CMSPricer at a Glance
1.Perform CMS re-pricing without installing additional software
2.No need for complex contracts, unlike many alternative solutions
3.Get five free claims priced as a trial for new users
4.Enjoy accurate claim processing powered by SaaS technology
5.Simplify claims entry with manual, batch, or EDI options
6.Update pricing rules quickly and easily
Cost-Saving Opportunities with CMSPricer
CMSPricer offers volume-based tiered plans, providing discounts as usage scales. Clients can further optimize costs by combining multiple plans, with transparent balance displays to keep track of claim volumes in real time.
Ready to Transform Your Operations?
Optimize your Medicare claims re-pricing with CMSPricer. Click here to schedule a FREE consultation today!