Payment frameworks of government change every now and then. If an enterprise is failing to keep track of the latest updates, then it can become quite risky. Inaccurate and inappropriate audits, disputed finance, high-cost manual claims, penalties etc are the risks involved when the subjected policies lose the tracks. Well! Gone are the days when people used to do everything manually. A new integrated tool has replaced the conventional methods.

The Centers for Medicare and Medicaid Services (or CMS) have integrated a claims system to a SAAS application. The whole thing has been done using secure technologies that further enable processing of meaningful information. CMS PC Pricer is indeed one of the most important examples of such technologies. SAAS has its own advantage which is unmatched. Get ready to bid adieu to all your problems as this SAAS based tool is capable enough to integrate every new data update. This system provides access to regulatory compliance data much before the effective dates.

CMS PC Pricer is a tool that is used in order to estimate Medicare PPS payments. It is a tool beyond excellence for sure, but sometimes the estimated final payment might not be precise. The reason is that there is a gap of 3 months between the original Medicare payment and an estimation made by the PC Pricer tool; this gap is created due to the 3 month lag in quarterly updates to the provider data. It might also be possible that a record of a specific provider is absent but that does not imply that the missing provider has not been enrolled to Medicare or ineligible for Medicare payment.

People, who install PC Pricer tool, often come across some popular FAQs. Below we have listed 3 of them that are interesting and the most popularly asked questions at the same time.

1. Which Option I Have to Select When Using the PC Pricer Tool?

The following options you would be asked to choose while accessing the tool. Select the one that you feel appropriate.

“Y” – An option to calculate a claim.
“V” – An option to take a look at the provider specific information.
“Q” – An option to quit and close the program.

2. If I Receive this Error Message: “Error Detected on Open Prov File”. What am I supposed to do?

This problem arrives when the driver where the zip files are located and the driver that has been entered does not match. You must follow the specific directions for download.

3. If I Receive This Message: “Invalid Admit Date – Please Correct”. What should I do?

If you enter a bill admit date into the CMS PC Pricer application that is not the same as the one mentioned on the claim, this problem arises. To troubleshoot this problem, it is better to refer to the download section which is provider specific.

PC Pricer tool has made life easier for sure. Now calculating your Medicare PPS payment has become easy. Enjoy the benefits of this SAAS tool to the fullest.


For more information: https://cmspricer.com/