Client: Agrace
Problem
Agace, a hospice provider serving nearly 1,700 people daily in 23 counties, faced an urgent operational challenge when their existing vendor announced the sunsetting of their claims pricing solution. The proposed replacement came at four times the cost, threatening the provider’s budget and business continuity. With a limited timeframe, Agrace urgently needed a reliable, cost-effective alternative to maintain their work without disruption.
Solution
We worked closely with Agrace to implement our Medicare Reference Pricer, a cloud-based claims pricing solution built to deliver accurate and transparent Medicare pricing across all claim types. The cloud-based nature of the tool allowed for quick deployment with no local installation. Our team handled the setup, integration, and training, creating a seamless transition to meet their needs from day one.
Outcome
Not only did Agrace save thousands of dollars in license fees, meet their short implementation deadline, and fulfil their claim pricing needs with the Medicare Reference Pricer, but now they have continuous access to complete and up-to-date fee schedules — capabilities that were not available to them before. Milliman also offered to customize the web interface for their specific operational needs as a hospice provider, to show ICD-10 diagnosis code inputs and code description outputs on all pricers.
Learn more about what Milliman Medicare Reference Pricer can do for you.