Know About Medicare Pricing and Editing

Based on the most recent Medicare fee-for-service (FFS) rates, CMS Pricer offers immediate Medicare claim repricing information and claims summaries. In order to optimize and deliver the competitive edge that third-party administrators and payers need for efficient benefit administrations, CMS Pricer’s Medicaid Batch Claims Processing claims repricing platform, which is a SaaS-based platform, centralizes clinical, financial, and administrative procedures. This web-based tool simplifies the electronic transmission of one of the best medical claims processes. Also, one of the main benefits is that the software cannot be downloaded. 

Why do People Choose CMS Pricer?

SaaS-based CMS Pricer updates price guidelines and policies more quickly. It offers certain benefits, including exact CMS Medicare rates, which are covered below.

Eliminate Manual Work: The CMS Pricer programme enables members and providers to interact, share data, and connect in real-time while also assisting TPAs in reducing their manual tasks.

Enhance Complex Batch Claims Efficiency: CMSPricer’s batching feature makes it simple for users to enter claims. Users may easily import and export claim files for re-pricing using the custom interface.

Maintain Accuracy: CMS Pricer keeps its system current to stay in compliance with CMS policies and fees. CMS Pricer conforms with the CMS’s standards for Medicare claim accuracy. Batch processing will be simple and accurate as a result.

Gain 24/7 Access to The System:

In contrast to older medical claims processors, which have a time constraint, the CMSPricer system is available 24/7/365, excluding brief service intervals for system maintenance.

Safeguarding Your Data:

Modern cloud-based security standards are met by CMPricer, which also ensures privacy by making sure no PHI or claims information is kept on file. All users have securely logged in using their personal credentials.

With CMS Pricer, you can assess your data and payment methods against a useful benchmark by comparing payment rates across various business lines, service categories, and geographies. CMS Pricer can assist you in comparing your Medicaid Batch Claims Processing medical claim payments to Medicare FFS rates, identifying areas for improvement, developing pricing hypotheses, and negotiating more advantageous provider contracts.