SaaS based Medicare Claims Repricing for Reference Based Pricing

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Presentation Description

CMSPricer includes solutions for Reference based pricing in its SaaS based Medicare Claims Repricing System. It's Easy, Updated Always with CMS Updates of Policies and Rates.

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Presentation Transcript

Slide1:

Healthcare Costs Continue to Increase.

Slide2:

Payers are Adopting Strategies to Help Mitigate the Increase.

Slide3:

Reference-based Pricing Strategy is One of Them.

Slide4:

Reference based Pricing M odel Takes Payers out of the Equation.

Slide5:

Self-funded Employers Carve Benefit Plan with Help of Insurer.

Slide6:

TPA is Hired.

Slide7:

Employer, TPA, & Insurer Decide together on Benefit Amount.

Slide8:

Pay for Particular Service or Flat Fee for All Services Decided.

Slide9:

TPAs Use SaaS based Repricing System to Decide Reimbusement .

Slide10:

SaaS based Medicare Claims Repricing System

Slide11:

Reprice all PPS claims and Claim Editing for Referenced based Pricing.

Slide12:

Reprice Claims in Compliance with CMS Policy & Rate Updates.

Slide13:

Looking for SaaS based Medicare Claims Repricing System?

Slide14:

Take a look at www.cmspricer.com

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