Medicare + UCR Repricing

Maintaining reimbursement compliance and re-pricing claims is a challenge. There is no consistent method in the healthcare industry. Some policies are built around Medicare, UCR, State Medicaid or a combination. To make it worse most healthcare organizations are stuck with confusing, cumbersome and costly data management .

Real Time, Accurate and Comprehensive Pricing

Context offers real-time reference-based pricing in the cloud.  Accessible via a web service, pricing data and analytics logic are maintained by our data scientists.  It’s updated weekly for you.  No data to download or manage.  Real-time Pricing is part of our Payment Integrity Platform.

Our real-time, cloud based pricing includes:

  • Medicare’s 16 Prospective Payment Systems (PPS)
  • UCR (general and Medicare gap use)
  • Customizable requests for a percentage applied (i.e. 125% Medicare)
  • Interfaces to a variety of existing claims systems
  • Rules to support schedule and PPS application based on claim type

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