PC Pricer 101: Everything You Need to Know About It


Posted April 1, 2021 by cmspicer

Summary: Do you know that PC Pricer can efficiently estimate the Medicare PPS payments? Check out a complete guide and know all the information about PC Pricer.

 
The PC Pricer is a tool that you can use to guesstimate Medicare PPS payments. The decisive cost may not be specified in the claims processing system because some data can be factored in the PC Pricer amount. The difference between PC Pricer valuation and actual Medicare cost results from a 3-month lag of the provider data update. This post will focus on PC Pricer and reveal all the information about it.

Release Time
The PC Pricer gets available within 60 days of a new quarter. The following files are accessible in zipped format, and they summarize all the changes made in the PC Pricer release:
Home Health - HHA_FAQsNChanges.txt
Inpatient Psych - IPF_FAQsNChanges.txt
Inpatient Rehab - IRF_FAQsNChanges.txt
Skilled Nursing - SNF_FAQsNChanges.txt
End Stage Renal Disease Facilities - ESRD_FAQsNChanges.txt
Inpatient - INP_FAQsNChanges.txt
Long Term Care Hospital - LTCH_ FAQsNChanges.txt
The data file used for CMS PC Pricer is around three months behind the provider-specific data.
Availability

PC Pricers are accessible for Home Health, Skilled Nursing, Inpatient Psychiatric, Term Care Hospitals, ESRD (End Stage Renal Disease), Inpatient Hospital, and Inpatient Rehabilitation facilities. Currently, PC Pricer is not available for Outpatient Prospective Payment System. Meanwhile, it is vital to know that logic used in the PC Pricer can also be viewed for the Outpatient PPS Pricer Code.
The potential payment frameworks of the government are subject to change daily. You will end up increasing the risk of inaccuracy if you fail to catch up with the latest updates. It can also result in costly manual claims reviews, more auditing, and disputes. Getting information (like claim edits and errors) beyond basic claim pricing facts will ease providers' disputes and decrease the inefficiencies caused by high volumes of pending claims and incorrect adjudications.

Final Word
You can easily communicate meaningful information by integrating a SaaS application with a claim system through secure technology. It will allow you to address regulatory compliance through immediate and seamless integration of data. So, this is all about CMS PC Pricer. Feel free to use the comment box below if you have any questions about it.
For more information visit: https://cmspricer.com/
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Issued By Eric Brown
Country United States
Categories Services , Software
Tags cms pc pricer , cms pricer
Last Updated April 1, 2021