About Milliman Medicare Reference Pricer
Milliman Medicare Reference Pricer is a cloud-based healthcare software solution designed for real-time Medicare claims payment and auditing. It enables healthcare organizations to adjudicate medical claims using Medicare fee-for-service methodologies, apply customizable fee schedules, and benchmark reimbursement rates.
Milliman Medicare Reference Pricer Details
Milliman Medicare Reference Pricer's In-App Market Place
Does Milliman Medicare Reference Pricer have an in-app market place?
Yes
How many Mini-Apps in the marketplace?
4
Mini Apps
Milliman Episode Insight for Medicare: Provides detailed insights into Medicare payment models and helps users analyze and optimize their pricing strategies for Medicare services.
Milliman Market Basket Analyzer: Allows users to analyze and compare pricing data with market benchmarks to identify opportunities for competitive pricing strategies.
Milliman Contract Management Tool: Helps users manage and analyze their contracts with providers to ensure accurate and profitable pricing agreements.
Milliman Risk Adjustment Module: Assists users in optimizing pricing strategies by incorporating risk adjustment methodologies to account for healthcare complexity and improve accuracy in reimbursement calculations.
Pricing Options
Accepted Payment Currencies
USD ($), EUR (€), GBP (£), AUD ($), CAD ($), JPY (¥), CNY (¥), INR (₹), BRL (R$), MXN ($), RUB (₽), KRW (₩), TRY (₺), ZAR (R), IDR (Rp), HUF (Ft), PLN (zł), SEK (kr), DKK (kr), NOK (kr), SGD ($), THB (฿), MYR (RM), VND (₫), PHP (₱), CHF (CHF), CLP ($)
Pros & Cons
- Provides real-time adjudication using current Medicare fee-for-service methodologies.
- Offers high flexibility to customize fee schedules and payment components.
- Automates updates from CMS to ensure compliance with the latest rates.
- Supports seamless integration with existing claims systems via web services or batch processing.
- Enables standardized benchmarking for commercial and Medicare Advantage contract negotiations.
- Requires specialized knowledge of Medicare payment rules to configure effectively.
- Pricing is not publicly disclosed and typically requires a custom quote or demo.
- High dependency on Milliman's proprietary data and update cycles for system accuracy.
Milliman Medicare Reference Pricer's Support Options
Email Address
support@milliman.comContact
+1 (206) 203-2465Community Forums
https://community.milliman.com/