Medicare Reference-Based Pricing sets provider reimbursements on a percentage of what Medicare would pay the provider. This allows for a fair reimbursement to both the payer and the provider. With A&G's solution, you won't believe how simple and fast it is to get claims repriced.
A&G's Medicare Reference-Based Pricing gives you the ability to set the percentage of Medicare that works both for you, and your providers. Whether that's 120%, 150%, or any other percentage, you have complete control of your rates. Additionally, this can be customized specifically to any particular providers or groups, depending on what your needs are.
Negotiations with providers can be difficult, that's why we're here to help. Our expert provider relations team has the knowledge and expierience to handle any disputes or pushback from providers.
Additionally, we're always happy to help you with any questions about claim coding or anything else you may need.