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Press Release

CalOptima
April 01, 2008

Burgess™ Announces Contract Renewal and Software Upgrade With CalOptima

ALEXANDRIA, Virginia—April 1, 2008—Burgess™ a leading Medicare-based decision support solutions firm announced today the signing of a three-year contract renewal with CalOptima, a client since June 2005. 

CalOptima is an Orange County, California-based public agency created by the state of California’s Medicaid program, Medi-cal. CalOptima is one of five County Organized Health Systems (COHS) in the country and authorized by federal law to administer Medi-Cal benefits. Through the efficient use of available state and federal funds and assessing needs on a local community basis, CalOptima has the ability to provide its members a wider access to healthcare providers. 

Under this renewed contract, CalOptima will continue to be a licensed user of the Burgess Reimbursement System (BRS)™, including additional software solutions that cover multi-year data for DRG and Home Health provider types as well as the ability to batch import claims with BRS™ BatchPricer. CalOptima has utilized BRS™ for fee schedule creation, Medicare Advantage claims, reimbursement, and provider relations.  BRS is the only Medicare pricing and analysis software in the industry covering all major prospective payment systems.  Burgess™ will also continue to provide ongoing technical support and Medicare payment policy education. 

“One of the primary reasons we are continuing to work with Burgess is the ease of their tool.  It’s very user friendly, which is a huge asset for claims processing.” stated Cara Chastain, strategic communications manager, CalOptima.  “Their BatchPricer solution will allow us the ability to build and improve auto-adjudication of claims.”

“We are pleased and excited to continue to work with CalOptima,” commented Greg Burgess, managing partner, Burgess™.  “Burgess prides itself on delivering best of breed solutions and developing lasting and open relationships with our clients.”  Burgess™ specializes in the focused design and delivery of Medicare-based software, consulting and education to manage healthcare reimbursement needs with clarity and ease. Burgess™ creates solutions for healthcare organizations including managed-care companies, provider organizations, pharmaceutical companies and device manufacturers. For more information, visit burgessgroup.com. 

Press Contacts: Chelsea Dwyer

chelsea.dwyer@burgessgroup.com 

703-894-1800 x.8431 

Leanne Libert

 leanne.libert@burgessgroup.com

202-557-0646 

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