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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,…
Reduce Denials & Redundancy in Medicare Billing with a SaaS Repricing & Editing Tool!
Payers often struggle to ensure zero-error in putting across Medicare claims. However, it is very common to them to receive reports of claim errors from the Medicare Administrative Contractors (MACs). Below are a few common types of errors committed by payers. In the message from MAC, it may appear that payment or processing of the…
Reduce Your Company’s Healthcare Costs by Adopting a Reference-based Pricing Model
Medicare repricing can help companies reduce their healthcare costs by utilizing a reference-based pricing model. In this model, the reference price is set by Medicare, and the provider is reimbursed at the lower of the billed amount or the reference price. This can help reduce the cost of care for companies, as Medicare reimbursement rates…