BRS Price

Price claims accurately the first time.

Whether a single claim or several million, BRS is a sophisticated Medicare-based claims pricing tool, providing a complete, modular solution that easily adapts to your business. It’s a powerful engine with the most comprehensive Medicare reimbursement data available that allows you to price like Medicare.

Choose one or a combination of claims-pricing options.

BRS™ Desktop to price and audit individual claims
BRS™ AutoPricer to automatically price each claim in line with your existing adjudication process through a direct connection to your existing claims system(s)
BRS™ BatchPricer to price any number and type of claims in bulk

What you can accomplish

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
Review claims-related remarks, warnings and errors
Audit the Medicare claims-pricing process
Print or e-mail completed CMS claim forms for pricing verification

Medicare data covered

Reimbursement rates

Physician
Non-Physician
Ambulance
DME/PEN
Clinical Lab
Drugs
Hospital Outpatient
Ambulatory Surgery
ESRD
Acute Inpatient
Inpatient Psychiatric Facilities
Inpatient Rehabilitation Facilities
Long-Term Care
Skilled Nursing Facilities
Home Health
Hospice
Gap & Carrier-Priced Codes

Payment policies

CMS National Correct Coding Edits (NCCIs)
Outpatient Code Editor (OCE) edits
CMS Medically Unlikely Edits (MUEs)
Local Coverage Determinations (LCDs)
National Coverage Determinations (NCD)

Burgess

Putting Medicare Data to Work

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Price claims accurately the first time.

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BRS Price

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Price claims accurately the first time.