Repricing Medicare Claims Tool Can Increase Pricing Transparency for Healthcare Providers

In the healthcare industry, pricing transparency and accuracy have long been problematic, causing confusion and frustration for patients. The recent CMS report, however, highlights the efforts hospitals and health systems are making to implement price transparency policies.

Based on CMS data, 70% of hospitals in 2022 complied with both shoppable service information display requirements and machine-readable file requirements, compared to 27% in 2021. According to the data, 82% of hospitals met both display and machine-readable file requirements in 2022 (up from 66% in 2021). Despite the COVID-19 pandemic and workforce crisis in 2021, hospitals made significant progress in implementing the requirements.

In recent years, various third-party organizations have repeatedly stated inaccurately that hospitals comply with federal price transparency policies.

Here CMSPricer Plays a Key Role in Changing the Game!

With CMSPricer, payers, PPOs, TPAs, BPOs, self-funded employers, and auditing firms can improve pricing accuracy and transparency. The following are some of the key benefits of using CMSPricer:

You’re in luck if you’re looking for a web-based solution that provides quick results at 100% of Medicare rates! You can enter data manually or automatically through batch/EDI uploads, and imports and exports are easy with CMSPricer. In addition, CMSPricer adheres to data privacy standards, since no PHI or claim data is ever stored. A 2048 bit encryption, an EV SSL Certificate, and 5HA2 provide the strongest security measures available on the market for this system. You can rest assured knowing that your data is secure with this SaaS-based Medicare repricing system, as it complies with HIPAA and ANSI 837 version 5010 regulations. Providing added safety and ensuring peace of mind, each user has their own secure login and account, ensuring secure, compliant medical billing.

CMSPricer allows TPAs and auditors to better control their pricing by using the latest data to ensure Medicare claims are accurately and transparently repriced.

Automating the repricing process will save TPAs and auditors significant time, improving efficiency and reducing the risk of errors.

With CMSPricer, TPAs and auditors can identify cost-saving opportunities, ultimately resulting in increased profitability.

TPAs and auditors can avoid costly penalties and reputational damage with CMSPricer’s ability to monitor compliance with CMS pricing transparency policies.

You can enjoy hassle-free Medicare claims repricing with our SaaS Medicare claims repricing tool without installing any software or signing any contracts. Our company is 100% US-owned and operated, ensuring that all resources are located in the USA.

Final Thoughts:

With our SaaS Medicare claims repricing system, you can count on accurate, reliable results every time. You can easily enter data manually, use batch processing, or integrate APIs with our system.

Healthcare providers can reduce costs, improve patient satisfaction, and comply with CMS policies with this SaaS-based repricing system. Let us provide you with the most seamless claims processing experience possible, no matter if you’re a third-party administrator, self-funded employer, payer, or auditor.