A SaaS-based Medicare pricing tool assesses and contrasts each Medicare claim submitted by a healthcare provider with the Medicare rate schedule. The Medicare charge schedule lists the prices for numerous medical treatments and services. If the provider's claim is higher than the fee schedule price, the CMS pricing tool will re-price it to the proper amount, saving the payer money. By using this technology, payers can stop paying claims excessively, which can save them a lot of money in the long run. The technology can also save payers time by automating the repricing procedure, which would otherwise need to be done manually. This SaaS-based Medicare claims repricing technology enables payers to process claims rapidly and affordably.
What Characterizes Effective Payers?
In order to enter new markets and entice new participants, CMS re-pricing solutions must offer accurate claims pricing in accordance with CMS pricing transparency regulations and rates. By paying claims accurately the first time, it is feasible to ensure accuracy and compliance without the use of automation technologies.
Take Advantage of SaaS and Cloud Computing
Using cloud-based Software-as-a-Service (SaaS) technology to reprioritize Medicare claims is one way to improve the production of CMS-compliant data. Delivery times will be accelerated while maintaining member privacy.
Check out CMSAdvantages of Pricer's Extra
● You don't need to install any software in order to re-price.
● We do not need you to sign a complicated contract, in contrast to other solution suppliers.
● New users receive 5 free claims.
● accurate processing of SaaS claims
● Claims can be entered manually, in batches, or using EDI.
● accelerated price regulation revision
Which Tools are Suggested by Professionals for CMS Re-Pricing?
In addition to the choices we provide, these options are available. CMS pricing transparency enables you to automate the entire re-pricing process, handle batches of claims rapidly, and meet CMS Medicare claim accuracy requirements. It can handle all PPS types of institutional and professional claims and reference-based pricing. Because of the program's specialized user interface, users of the Medicare pricing tool may quickly import and export claim files for re-pricing.