Stay Ahead of the Curve: Use An Intuitive Medicare Repricing SaaS Tool for Quick Configuration
By analyzing Medicare reimbursement data at the claim line level, CMSPricer provides Medicare fee-for-service (FFS) rate-based claims summaries. A common practice in the healthcare industry is to compare medical claim allowed amounts with Medicare FFS rates to gauge payers’ data and payment practices. By using CMSPricer, you can compare payment rates across several categories, locations,…Read More
Medicare Claims Editing Module Increases Revenue by 25%
When health plans have finalized claims, they don’t want to retroactively fix them. It is vital to a health plan’s success to improve claim accuracy and reduce errors. An IT ecosystem that can integrate easily and exchange data in real-time is essential for health insurance companies to improve claim accuracy. With real-time data, payors can…Read More
Worried About Medicare Claim Denials? Check Out How Our SaaS Medicare Claims Editing Tool Can Assist You
In order to control healthcare costs and ensure satisfaction among employers and providers, payers are crucial. Their goal is to process medicare claims as precisely and efficiently as possible to balance these competing objectives. Increasing healthcare costs and stagnant profits mean payers have to make sure medicare claims processing is smooth. If you make any…Read More
Self-Funding: What Does Medicare Claims Data Have To Do With It?
It is typical for small employers to pay 8% to 18% more for the same plan than their larger counterparts. To reduce some of these costs, employers have moved to a self-funded model for benefits. Because of this, it is becoming more and more important to have accurate claims data in order to create a…Read More