Whether it's a single claim or several million, we have a solution to pay and price like Medicare. BRSTM provides a complete, modular solution that easily adapts to your business. You choose one or a combination of claims pricing options: 1) BRSTM desktop application to price and audit individual claims, 2) BRSTM AutoPricer to automatically price each claim in-line with your existing adjudication process through a direct connection to your existing claims system(s) 3) BRSTM BatchPricer to price any number and type of claims in bulk.
You Can >
ApplyApply date-specific Medicare payment logic & “groupers”: DRG, MS-DRG, APC, HHRG, RUG | EnforceEnforce some or all of the CCI and OCE edits | CalculatorsCalculate transfer, outlier, pass-through and add-on payments |
DetermineDetermine consolidated billing and bundled payments | ReviseRevise claims-related remarks, warnings, and errors
| AuditAudit the Medicare claims pricing process |
Print & e-mail completed CMS claim forms, for pricing verification
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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.
