Payers
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ECMPro™

ECMPro™ is an embeddable software library for claims adjudication, analysis and managing risk. Its groupers, pricers, editors and other PPS tools seamlessly integrate with claims processing systems.

Manage Federal (DRG and APC) prospective payment, as well as more than 30 state/payer-specific implementations.


Control Costs and Manage Risk Using Prospective Payment

ECMPro™ simplifies PPS reimbursement by providing what you need to seamlessly integrate PPS into your core claims applications. PPS is a superior risk sharing model because it enables payer organizations to retain the portion of risk from which they can profit, while shifting to providers the portion of risk they can influence and control.

ECMPro™ Benefits

  • Accurate pay out-of-network Medicare claims
  • Verify billed amounts against allowable PPS rates
  • Standardize contract management practices

Regulatory Peace-of-Mind

PPS’ numerous regulatory updates can be difficult to manage, especially if you're utilizing multiple prospective payment systems. Advanced technology provides timely updates to ECMPro™ by offering electronic options that expedite the update process, giving you the peace-of-mind that comes with operating in compliance with current regulations.

Multiple Platform Offerings

ECMPro™ available in multiple technology flavors including COBOL, C, Windows Server, and Web Services.

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