Medicare Repricer
The Medicare Repricer software from Milliman effectively assigns Medicare-allowable fees to administrative claims data, enabling payers and providers to analyze pricing structures. Featuring capabilities for inpatient, outpatient, ASC, and professional claims, it replicates Medicare’s adjudication logic and provides essential reporting tools for validation and reconciliation within enterprise data warehouses.
Top Medicare Repricer Alternatives
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Top Medicare Repricer Features
- Percentage of Medicare comparisons
- Standardized fee schedules
- Service-line level adjudication
- Administrative claims data integration
- Medicare-allowable fees assignment
- Detailed reporting workbooks
- Inpatient claims repricing
- Outpatient claims repricing
- ASC claims repricing
- Professional claims repricing
- Replicates Medicare adjudication logic
- DRG grouping capabilities
- APC grouping capabilities
- Enterprise data warehouse integration
- Case study presentations
- Key updates webinars
- Best practices for network comparisons
- Strengths and weaknesses analysis
- Expert consultation availability
- Actuarial rigor and expertise
