CMS awards Medicare pricing and coding services contract to Bellese Technologies
Many variables are considered in determining payment for health insurance claims, such as fee schedules, price calculations, geographic location, type of provider, and participation in the payment model. The Pricing and Coding Services Agreement is part of CMS’s holistic approach to providing responsive, correct and accessible services to the vendors and vendors who support the claims submission process. Modern services will support CMS’s ability to quickly adapt to policy changes and initiatives that drive claims prices.
“We were fortunate to be a pioneer of MPSM in the application of user research, product management, service design and creation of a cloud-based architectural track required for support modern pricing tools, ”said Pam Offutt, Bellese Partner and CEO.
“Our goal is to give CMS the flexibility they need to quickly deliver accurate pricing and coding services to the Medicare community.” John duClos, partner of Bellese and CTO, added that “the use of a global API specification and common components strategy has contributed to the gradual conversion and modernization of the pricer product. We are delighted to build on our success and grateful to continue this important work of modernizing the legacy system with CMS. “
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