An objective, transparent yardstick for fair pricing.
HCMS evaluates billed and allowed charges against transparent, publicly available Medicare rates — an objective benchmark that supports fair, defensible pricing decisions and underpins our reference based pricing (RBP) work.
Medicare rates provide a consistent, published reference point, making it possible to identify charges that are significantly out of line with what Medicare would pay for the same service.
HCMS customizes benchmarking analysis to your plan, claim environment and existing pricing or network strategy.
Submit a claim securely and let our team identify opportunities for savings and resolution.
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