What Makes CMSPricer the Go-To Solution for Hassle-Free Medicare Pricing and Contract Management?

Managing Medicare pricing and contracts can be challenging for payers, TPAs, and self-funded employers. CMSPricer, a leading SaaS platform, offers a streamlined, secure, and cost-effective solution for Medicare claims processing.

Here’s why CMSPricer stands out for healthcare cost management:

1. Quick and Easy Access with Zero Setup
   CMSPricer offers a web-based architecture that eliminates the need for setup or lengthy installation processes. Users can quickly start repricing Medicare claims with just a secure login and internet access, achieving accurate pricing at 100% of Medicare rates. This makes it a versatile tool for both small-scale and high-volume claims processing, enhancing workflow efficiency and flexibility.
2. Unmatched Accuracy and Compliance
   Maintaining precision in Medicare claims processing is not just important; it is critical for preventing costly errors and rejections. CMSPricer is specifically designed to deliver highly accurate results, enhanced by regular updates that reflect the most current policies and rates from the Centers for Medicare & Medicaid Services (CMS). Unlike CMS.gov, which typically suffers from a three-month lag, CMSPricer guarantees that users have immediate access to up-to-date and comprehensive pricing information. Furthermore, the platform effectively supports a wide range of claim types, including inpatient, outpatient, durable medical equipment (DME), and more, ensuring robust coverage for various service requirements.
3. No Contracts, No Commitments
   CMSPricer offers a no-contract, pre-pay model for user convenience, allowing flexibility without long-term commitments. This approach supports scalability according to business needs. The system also includes volume discounts and easy online payment processing for clear and straightforward cost management.

1. Industry-Leading Security Features
   CMSPricer prioritizes user security by being fully HIPAA-compliant and employing advanced encryption methods such as EV SSL Certificates, SHA-2, and 2048-bit encryption. It does not store any PHI or claims data, minimizing the risk of unauthorized access and ensuring compliance with industry standards.
2. Comprehensive, User-Centric Functionality
   CMSPricer is created with the user in focus, providing easy manual input and batch processing features, along with seamless API integration for automated processes. It caters to a diverse array of clients – from insurers and PPOs to self-funded employers and auditing firms – making it versatile for various operational sizes and requirements. The platform’s integrated claim edits, which include CPT edits, age and gender edits, and more, help enhance the precision of claim submissions.

Why Choose CMSPricer?

CMSPricer is the definitive solution for simplifying Medicare pricing and contract management, delivering unmatched accuracy and security. It empowers healthcare stakeholders with a powerful and efficient tool to manage claims, significantly cut costs, and ensure compliance seamlessly.

Streamline your Medicare claims with a secure and efficient solution. Try CMSPricer today and transform your claims processing!