Medicare Pricing and Contract Management Solutions Made Easy

Most Accurate, Highly Secure and Lowest Cost Solutions on the Market

Why use CMSPricer to re-price and edit your Medicare claims?

No Set Up

Web-based with results returned in seconds priced at 100% of Medicare rates. Hand Key Entry or Auto Batch/EDI Uploads, Easy imports/exports. 

No Hassle

No contracts, No sales people…..pre-pay purchase with volume discounting and easy online payment processing.

Accurate

Frequent engine updates with latest CMS policies and rates to ensure accurate claims pricing. The CMS.Gov typically has a 3 month lag time and incomplete pricing results. We price all PPS types of Institutional and Professional claims including claim editing for Referenced Based pricing.

Security

No PHI or claims data stored. Utilizes contemporary cloud-based security, including EV SSL Certificate, 5HA2, and 2048 bit encryption (strongest on the market). Fully HIPAA and ANSI 837 version 5010 compliant. Every user has their secure login and account. 

Availability

As long as you have access to the Internet, you can run 24/7/365 securely *excluding short windows for system maintenance.

Our Clients

We serve Payers, PPOs, TPA’s, BPO’s, Self-Funded Employers and Auditing Firms.

New Users 5 Claims FREE no commitments

NO SOFTWARE TO INSTALL

NO COMPLEX CONTRACT TO SIGN

USA OWNED AND OPERATED

100% ON-SHORE RESOURCES

ACCURATE SaaS CLAIMS PROCESSING

EASY MANUAL, BATCH OR API Claims Integration Claims ENTRY

Why our clients value us:

Our latest blog update

Medical Technologies Like Medicare Repricing Systems Are Improving Claims Processing!

By pwsadmin | April 2, 2024

Say goodbye to the endless frustrations and headaches of Medicare claims processing. Are you tired of the never-ending paperwork and inefficient processes that lead to errors and higher costs? Look no further, for the solution is here – SaaS solutions by CMSPricer.Whether you’re a Medicare TPA, Payer, Self-Funded Employer, or an Auditing Firm, CMSPricer’s cutting-edge…

Ready to Navigate Medicare’s Evolution? Let’s Delve into the New Advanced Beneficiary Notice and Its Impact on You

By pwsadmin | March 20, 2024

Are you ready to navigate the ever-evolving world of Medicare? Brace yourself, because a new Advanced Beneficiary Notice (ABN) is now in effect and it’s bound to make an impact. Let’s get up to speed on the highlights: starting June 30, 2023, all providers are required to use the new ABN, which will be valid…

Unlock the Secrets to Maximizing Medicare’s Prospective Payment System (PPS)

By pwsadmin | January 13, 2024

Amidst the ever-growing costs of healthcare, the prospective payment system (PPS) has emerged as a vital tool for the government’s mission to expand coverage. This innovative methodology reshapes the incentives of providers, ensuring efficient and effective patient care. But what exactly is PPS and how does it operate? In essence, this system promotes the delivery…