Texas Firm Provides Medicare-Reference Based Pricing for Self-Funded Employer Groups

payercompassPayer Compass has a reimbursement technology that defines reimbursement in a new way. That new way is Medicare. Medicare is based on cost. We help you move away from discounts and charges to understanding actual cost—to look at cost and then build in a fair margin for providers. That is what we do—very different from traditional discounting.

Medicare-Reference Pricing and Medicare repricing have similar elements but are distinctly different in their application. We are the experts in using Medicare to create a viable price for the commercial market whether the plan chooses to pay from the plan document or contract with a provider. Medicare-Reference Pricing uses Medicare payment methods along with a customized reimbursement schedule to create reimbursement for a particular plan. (For example, 120% of Medicare for inpatient and outpatient and 130% of Medicare for physicians.) Additionally, we can customize the various components of both IPPS and OPPS modules or set the various edits for OPPS and physician reimbursement.

Payer Compass, LLC3401 Custer RoadSuite 183Plano, Texas 75023     (972) 964-6655          ​E-mail: info@payercompass.com