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Medicare Repricing System Built To Improve Your Administrative Processes
By replacing manual procedures and modernizing administrative processes through the centralization of workflows, Third-Party Administrators save a lot of money. As a result, TPAs can re-price all commercial claims at Medicare rates (Reference Based Pricing) at a percentage of the Medicare authorized amount, as well as price all Medicare-based claims.CMSPricer’s SaaS-based Medicare claims repricing technology…
Claims Accuracy is Ensured with CMSPricer’s Edit-Only Approach
Medicare third-party administrators can eliminate manual data entry and centralize workflows to reduce costs. They can re-price all commercial claims based on Medicare rates (Reference Basis Pricing) and rate all Medicare claims based on the Medicare cap. CMSPricer, a software-as-a-service (SaaS) solution, offers payers and third-party administrators a competitive edge by streamlining clinical, financial, and…
Medicare Contract Claims Can Be Configured To Your Specific Rate Now
CMSPricer provides Medicare claims repricing information at claim line level and claims summaries based on Medicare fee-for-service (FFS) rates using a SaaS platform. In the healthcare industry, comparing medical claim allowed amounts with Medicare FFS rates is a common practice, since it provides payers with a useful benchmark to gauge their data and payment practices.…