The Wakely Medicare Repricing Analysis Tool (WMRAT) is a reporting tool that provides claim line level detail and summaries of medical claims repriced to Medicare Fee-for-Service (FFS) rates. Comparing medical claim allowed amounts to Medicare FFS rates is a common practice across the industry, as this analysis provides a useful benchmark for payers to better understand their data and payment practices and for providers to more easily analyze how they are being reimbursed. In this paper, we answer frequently asked questions about WMRAT and provide some case studies that highlight how our clients find value in a WMRAT analysis.
