Does Medicare Pricing Contract Claims Feel Like a Maze? Navigate It with CMSPricer!
For contract managers, third-party administrators (TPAs), preferred provider organizations (PPOs), and self-funded employers, pricing claims at specific rates can seem like piecing together a complex puzzle. Balancing various fee schedules, monitoring provider networks, and ensuring precise CMS pricing requires constant attention. The task of manual repricing is not only tedious but also increases the chances of errors, delays, and potential financial setbacks.
Facing Challenges Without Automation?
- Claims processing slows to a crawl, creating payment bottlenecks
- Pricing inaccuracies lead to compliance headaches and financial messes
- Administrative tasks skyrocket, slashing operational efficiency
- Frequent provider network updates make fee schedule tracking a constant struggle
When we don’t have a solid system in place, handling pricing contract claims can become quite a challenge. It often takes up a lot of time, money, and resources. Let’s work together to make it smoother!
Transform Your Workflow with CMSPricer’s Medicare Repricing SaaS Tool!
Stop wasting time on manual processes! Take charge with CMSPricer and accelerate your claims processing by up to three times. It’s time to work smarter and achieve results faster!
Automated rate adjustments accommodate periodic increases
Automated pricing aligns with predefined Fee-for-Service (FFS) schedules
Comprehensive contract configuration and rule-based pricing
Effortless management of diverse fee schedules and network relationships
Real-time CMS pricing and claims editing for pinpoint accuracy
How It Works: Simplified in 5 Steps
- Input contract or RBP information
- Load and verify pricing rules
- Establish advanced rule-based parameters
- Automatically price claims with sophisticated grouping
- Utilize FFS modules for PPO networks and multi-schedule pricing
Utilizing CMSPricer enhances efficiency, accuracy, and regulatory adherence while eliminating administrative burdens.
Are you looking to enhance your understanding of contract claims pricing?
Avoid getting stuck with outdated methods and discover the benefits of CMSPricer. Experience our platform firsthand – your first five claims are complimentary!