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How a SaaS Repricing & Editing Tool Can Minimize Redundancy & Denials in Medicare Billing?
Medicare claims are often difficult for payers to process error-free. They frequently receive reports of claim errors from Medicare Administrative Contractors (MACs). Payers Often Commit The Following Types Of Errors. It may appear in MAC messages that MAC cannot process a claim without missing information in their message. Your claim cannot be processed because of…
Reference-Based Pricing Model is Disrupting Healthcare Models: Who Benefits?
Healthcare cost containment has changed forever with reference-based pricing (RBP) – although it has come with a lot of disruption. In addition to saving companies a lot of money, reference-based pricing impacts employee satisfaction. Self-funded healthcare refers to employers taking care of their own claims rather than paying for premiums through a carrier. Third-party administrators…
How to Take Advantage of Medicare’s Prospective Payment System (PPS)
A prospective payment system (PPS) is an important policy tool at a time when healthcare costs are rising alarmingly. In relation to the government’s effort to expand health coverage, PPS has gained traction using a methodology that shapes providers’ incentives. What is PPS and How Does it Work? Through the Prospective Payment System, patient care…