Published in Medicine and Law Weekly, October 20th, 2006
There are two components to the SNF functionality in the BRS: an easy-to-use claims tool for calculating Medicare Part A inpatient composite rates, and a policy and pricing reference tool where users can look-up pricing and calculation basis information for Resource Utilization Group (RUG) rates and Health Insurance Prospective Payment System (HIPPS) codes. Both components are designed to help Medicare Advantage (MA) plans quickly and accurately reimburse out-of-network...
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