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

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 to the correct amount, saving the payer money.

By using this tool, payers can avoid overpaying claims, which can add up to significant cost savings over time. Additionally, the tool can save payers time by automating the repricing process, which would otherwise have to be done manually.

This SaaS-based Medicare claims repricing tool offers an efficient and cost-effective solution for payers to manage their claims processing.

CMS pricing transparency

What Makes Payers Successful?

To enter new markets and attract new participants, CMS re-pricing solutions must ensure accurate claims pricing in compliance with CMS policies and rates. By paying claims accurately the first time, it is possible to ensure accuracy and compliance without automation technology.

Take Advantage of SaaS and Cloud Computing:

Utilizing cloud-based Software-as-a-Service (SaaS) technologies for re-pricing Medicare claims is one strategy for improving the process of creating CMS compliant data. As a result, the delivery process will be accelerated while maintaining member privacy.

What tools do Experts Recommend for CMS Re-Pricing?

Those solutions are available in addition to those provided by us. With CMSPricer, you can automate the entire re-pricing workflow, process batch claims efficiently in just three easy steps, and meet CMS Medicare claims accuracy requirements. It is capable of pricing all PPS types of institutional and professional claims, including reference-based pricing. The custom interface of CMSPricer makes it easy for its users to import/export claim files for re-pricing.

Check Out CMSPricer’s Additional Benefits:

  • You do not need to install any software to re-price CMS
  • In contrast to other solution providers, there is no need to sign a complicated contract
  • New users receive 5 free claims
  • SaaS claims processed accurately
  • Claims can be entered manually, in batches, or through EDI
  • Faster updating of pricing rules

CMSPricer Clients Have the Opportunity to Save Money:

A volume-based tiered plan is also available for CMSPricer users to optimize costs. Volume discounts are available on all three plans to give you the best price with the highest volume. The more plans users choose, the more they can optimize their costs. In addition, CMSPricer will continue to display clients’ balances to let them know exactly how many claims they have in their account.

Looking for a SaaS-based Medicare claims repricing tool? With CMSPricer, you can simplify and streamline all your Medicare claims repricing requirements!

You can fix a FREE consultation with CMSPricer experts by clicking here.