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Home > Software > Model Contract Reimbursement Terms
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Develop a set of rules - as simple or as complex as you wish - that allow you to create your own fee schedules and payment policies derived from the ones set by Medicare.

BRS™ virtual modeling engine lets you create and maintain an unlimited number of fee schedules, using unrestricted modeling scenarios.

You Can >

Model
Model fee schedule parameters for every major provider and payment type
Maintain
Maintain and incorporate unlimited contract reimbursement rules on an enterprise basis across all BRS™ solutions

Apply
Apply multi-level modeling, using “if, then” logic
Specify
Specify ranges of codes and types of service or apply a different Medicare calculation basis (RBRVS, DMEPOS, lab, drugs)

”Gap-fill”
”Gap-fill” rates for the services Medicare does not cover
Export
Export fee schedules for uploading to claims processing systems

Maintenance

The Most Reliable Data Available

We take the worry out of staying in step with all of the Medicare payment and policy changes that occur throughout the year. We monitor the CMS site daily for changes and updates you need to maintain accurate Medicare pricing - all of the provider types, payment methods, data files, regulations, and policy transmittals. When there are changes, we scrub the data and incorporate it into our system so we can give you access to the most current and accurate data available.

Every Major Provider Type

   Professional / Suppliers
  • Physicians
  • Other Practitioners 
  • Ambulance
  • DME/PEN
  • Clinical Lab
  • Drugs
   Outpatient
  • Hospital Outpatient
  • Ambulatory Surgery
  • ESRD
   Inpatient
  • Acute Inpatient
  • Inpatient Psychiatric
  • Inpatient Rehabilitation
  • Long-Term Care
   Post-Acute
  • Skilled Nursing
  • Home Health
  • Hospice

Contact Us

Call: 1.800.637.2004
Email: info@burgessgroup.com

Complete our
Contact Form

Next Software Update

11.08

Call Us: 1.800.637.2004

 

 

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