A SaaS Repricing & Editing Tool Reducing Medicare Billing Redundancy

Payers frequently struggle to transmit medical claims processing manuals accurately and without error. Nevertheless, they frequently get reports of claim errors from the Medicare Administrative Contractors (MACs).

Here are a few typical mistakes that payers make.

●  There are multiple claims existing.

●  inaccurate or missing physician identification.

●  Code for the place of service (POS) is incorrect or inconsistent.

Why Do These Medicare Claim Processing Errors Occur?

The intricacy of the codes and the multiple changes to CMS regulations that occur practically daily make it difficult for payers to process Medicare claims rates. If there are any compatibility problems with codes, CMS regulations, diagnosis code validation, etc., MACs will send notifications to payers and their organisations asking for the correction of errors, and if this keeps happening, end-users won't be able to get the results they want. Payments can simply prevent data inaccuracies brought on by Medicare claim manual editing.


Payers Can Reduce Denials & Redundancy in Billing by Using CMSPricer

CMSPricer provides its users with a SaaS-based, user-friendly software solution for repricing and modifying Medicare claims before submitting them to payers. It is an automated Medicare claims validation solution. CMSPricer's API-enabled editing solution prevents delays and downstream denials by preventing late payments.

Until you obtain the accurate Medicare claims repricing process and modify entries, you can use CMSPricer to double-check and generate submission reports.

Why Should Payers Use CMSPricer's Medicare Claims Editing Solution?

You may create error-free medical claims processing manuals for a number of reasons using CMS Pricer. CMS Pricer assists in boosting the first pass-through rate for claims when working the revenue cycle. Additionally, you will be able to shorten the time it takes to collect a payment, lessen the need to rebill incorrect claims, find and fix problems with medical necessity before submitting claims, increase accurate coding compliance, and get real-time updates on errors found.

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