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. Burgess® Warehouse virtual modeling lets you create and maintain an unlimited number of fee schedules, using unrestricted modeling scenarios.
ModelModel fee schedule parameters for every major provider and payment tye | MaintainMedicare and incorporate unlimited contract reimbursement rules on an enterprise basis across all Burgess solutions | ApplyApply multi-level modeling, using "if, then" logic |
SpecifySpecify ranges of codes and types of services or apply a different Medicare calculation basis (RBRVS, DMEPOS, lab, drugs) | "Gap-fill""Gap-fill" rates for the services Medicare does nt cover
| ExportExport fee schedules for uploading to claims procession systems |
Research rates & Policies>
AccessAcess Complete date-specific fee schedules for every major CMS payment methodology | UnderstandUnderstand Medicare rate or policy changes, when and why | ExamineExamine payment policy exceptions and modifiers, code-level CMS change requests (with links to all pertinent documentation) |
CalculateAccess rate "calculators" for anesthesia, ambulance and home health | DetermineDetermine National Correct Coding Initiative (NCCI) edits
| CompareCompare Medicare payments across settings of care, geographic areas, facilities, etc. |
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.
