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Medicare Claims Automation at Scale: Top 4 Benefits for Payers
Behind-the-scene machinations of Medicare claims procedures are now much more complex than those days when Medicare claims automation tools came on board. Today’s procedures are often so complicated that they tend to take a couple of weeks or even more due to the streamlining and standardization of critical processes such as claims repricing. Thanks to…
Empower Your Medicare Advantage Claims Repricing Business with CMSPricer
In order to sail your Medicare Advantage claims repricing processes through this current Medicare environment, you need a reliable system that can empower you with the right solutions to carry out the tasks efficiently. And for Medicare claims repricing, in particular, you need a customizable platform that allows automation processes and guarantees regulatory compliance through…
Reference-Based Pricing Approach Often Reduced Employers’ Healthcare Spending By 20% To 30%
Reference-based pricing in its simple terms is the concept that an employer or health plan may decide an exact dollar amount that a benefit plan might cover for a particular service or procedure. It is sort of the defined contribution approach around procedures or medicare care. So, for example, today if someone gets a test…