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

Save Time & Money While Optimizing Price Transparency With a SaaS-based CMS Repricing Tool

By mwccare | April 5, 2023

A SaaS-based CMS repricing tool works by analyzing Medicare claims submitted by healthcare providers and comparing them to Medicare’s fee schedule. The fee schedule is a list of prices that Medicare has established for different medical procedures and services. If the provider’s claim is higher than the fee schedule price, the tool will re-price it…

Stay Ahead of the Curve: Use An Intuitive Medicare Repricing SaaS Tool for Quick Configuration

By mwccare | March 20, 2023

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!

By mwccare | March 8, 2023

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…