If your question is Medicare reimbursement-related, our software solution provides the answers and the supporting payment policy information, with clarity and ease.
Burgess Reimbursement System (BRS)TM covers current and historical Medicare data for every major provider and payment system - you select the provider and payment types that meet your immediate needs, and easily add functionality as your organizational requirements change.
One Modular Solution
One Resource Across Your Entire Organization
- Claims
- Medical Economics
- Medical Management
- Network Contracting
- Product Configurations
- Provider Relations
- Actuarial
Whether you're a health plan, provider or medical technology company, our products and services provide easily adopted and scalable Medicare-based solutions that directly impact operational effectiveness, process efficiencies, and market competitiveness.
Accurate, easy-to-use Medicare-based reimbursement, in a modular solution-Burgess Reimbursement System (BRS)TM
Price
| - Apply date-specific Medicare payment logic
- Enforce some or all of the NCCI and OCE edits
- Calculate transfer, outlier, pass-through and add-on payments
- Apply various "groupers"-DRG, MS-DRG, APC, HHRG, RUG, etc.
- Determine consolidated billing and bundled payments
- Revise claims-related remarks, warnings, and errors
- Audit the Medicare claims pricing process
- Print or e-mail completed CMS claim forms for pricing verification
|
Research
| - Access complete date-specific fee schedules for every major CMS payment methodology
- Understand Medicare rate or policy changes, when and why
- Examine payment policy exceptions and modifiers, code-level CMS change requests
- Access rate "calculators" for anesthesia, ambulance and home health
- Determine National Correct Coding Initiative (NCCI) edits
- Compare Medicare payments across settings of care, geographic areas, facilities, etc.
- View historic rate trends for any procedure or service
|
Model
| - Model fee schedule parameters for every major provider and payment type
- Maintain and incorporate unlimited contract reimbursement rules on an enterprise basis across all BRS solutions
- Apply multi-level modeling, using "if, then" logic
- Specify ranges of codes and types of service, or apply different Medicare calculation bases (RBRVS, DME, lab, drugs)
- "Gap-fill" rates for services Medicare does not cover
- Export fee schedules for uploading to claims processing systems
|
Forecast & Analyze
| - Apply a fee schedule to your utilization data, reflecting any number of modeled rates and policies you create
- Choose whether to enforce additional rules and edits
- Quickly change the modeled rules to see the financial impact
- View and report data in "drill-down" tables and charts
|
.jpg)
