Milliman Medicare Reference Pricer

Milliman Medicare Reference Pricer

The Milliman Medicare Reference Pricer revolutionizes healthcare pricing by delivering real-time Medicare payment data while allowing for adjustments to commercial and individual claims. Users can seamlessly integrate with existing systems, customize payment structures, and access the latest CMS updates, ensuring accurate adjudication and streamlined administrative processes across diverse healthcare scenarios.

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Top Milliman Medicare Reference Pricer Features

  • Medicare payment updates automation
  • Flexible pricing for non-Medicare
  • Seamless system integration options
  • Customizable fee schedule updates
  • Efficient claims adjudication process
  • Support for maternity and newborn pricing
  • Integrated MS-DRG and APC groupers
  • Code editor functionality included
  • Standardized payment structure benefits
  • Timely CMS data updates
  • Expert Medicare support services
  • Analytical tools for RVUs
  • Batch process deployment capability
  • Web service deployment option
  • Simplified provider reimbursement relationships
  • Historical pricing traceability
  • Quick adaptability to policy changes
  • Support for individual and commercial pricing
  • Enhanced administrative cost reduction
  • Robust data analysis capabilities