USA, May 24, 2020- Medicare and Medicaid claims processing is an intricate workflow involving several checkpoints that every claim must go through before it’s approved. If a claim makes it through all these checkpoints without issues, the Medicare providers approve it and process insurance payments. If it doesn’t, it gets denied and is sent back for more information. and is sent back for more information.

In order that Medical claims are processed smoothly and accurately, Medicare and Medicaid claims repricing authorities like payers, TPAs, PPOs, BPOs, self-funded employers, and auditing firms are recommended to use an efficient and intuitive Medical claim processor that can reprice claims to the significantly lower, CMS compliant rates which providers in these networks have already agreed.

These Medical claims processors are designed to offer full continuum of services to reduce the cost of claims, which might include Reference-based pricing, Medical Bill Review, etc.

The advantages of implementing one of the best Medical claims processors are numerous. One of them is a system that can meet the stringent CMS Medicare claims accuracy requirements for auditing claims from over a maximum number of Medicare Advantage Plans. In addition, these systems can also allow users to effectively batch processes with ease and precision.

When asked for a reference of such a system, a payer said of the CMSPricer which has been used by the payer for over years at their organization. They recommend CMSPricer for several reasons, the first is it is SaaS-based, requiring no software to install. CMSPricer is reputed for quick and accurate Medicare claims processing, besides the advantages of easy manual, bath or EDI claims entry.

CMSPricer generates accurate claims pricing results while complying seamlessly with the latest CMS policies and rates. This SaaS-based Medicare claims repricing system is designed to price all PPS types of institutional and professional claims including claim editing for Referenced Based pricing.

Want to know more about the benefits of using CMSPricer, visit www.cmspricer.com

About CMSPricer:

CMSPricer is a SaaS-based Medicare and Medicaid claims repricing system that serves Payers, PPOs, TPA’s, BPO’s, Self-Funded Employers and Auditing Firms. It is secure to use as no PHI or claims data is stored and utilizes contemporary cloud-based security, including EV SSL Certificate, 5HA2, and 2048 bit encryption (strongest on the market). CMSPricer is fully HIPAA and ANSI 837 version 5010 compliant. Every user has their secure login and account.

For more information visit this website: https://cmspricer.com/