CMSPricer

  Are you still thinking of whether to take health insurance or not? We would suggest don’t waste your time pondering if taking a medical insurance policy will be beneficial for you and your family because it is something that is of prime importance in today’s era. What is the Prospective Payment System and What is the Purpose of Using a PPS Pricer? The Prospective Payment System or PPS is a popular method of medical insurance claim reimbursement in which, the payment is made by the insurance company on the basis of a fixed predetermined amount. Different types of medical, surgical, and diagnostic services are classified into separate categories. And so, the amount for a particular healthcare service is determined on the basis of the predetermined cost of that particular category of services to which the healthcare service belongs. For example, diagnosis-related groups, inpatient hospital services, ambulance services, hospice care, and so on. The PPS is classified into the follow...

According to Healthcare Innovation, medicare claims editing is a step in the claims payment cycle that involves verifying that physician-submitted bills are coded correctly. Medicare repricing systems are designed to enable healthcare payers and auditing firms. These systems offer a number of advantages, including increased efficiency and improved data accuracy. How Do Medicare Claim Editing Tools Helpful for You? A healthcare claim editing tool is the best way of avoiding redundant workaround rebilling erroneous claims and reducing days in A/R It is a helpful method of increasing correct coding compliance You can receive real-time information on identified errors CMSPricer is one of the best Medicare claims re-price and editing systems that are helpful for all such as healthcare payers, auditing firms, PPOs, TPAs, BPOs, self-funded employers, etc. CMS Pricer is a SaaS-based platform, which offers several benefits: Here you haven’t need to take the hassle of setting up any software D...