BRS Adapt

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Adapt Medicare payment logic to your contract terms.

Develop a set of rules — as simple or as complex as you wish. BRS allows you to price claims at Medicare derivatives and customize your payment rules for specific contracts.

Develop and maintain an unlimited number of fee schedules, using unrestricted modeling scenarios. BRS allows you to create Medicare-inspired payment metrics for your commercial, Medicaid and other non-Medicare lines-of-business.

What you can accomplish

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™ modules
Apply multi-level modeling, using “if, then” logic
Model payment rates by code range, type of service or different Medicare calculation bases (RBRVS, DME, lab, drugs, APC, DRG)
“Gap-fill” rates for services Medicare does not cover
Export fee schedules for uploading to claims processing systems

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Putting Medicare Data to Work

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Adapt Medicare payment logic to your contract terms.

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BRS Adapt

You are here

Adapt Medicare payment logic to your contract terms.