Talking to Jeff right now.
The charges are pulled from the insurance claims. These are charges not what is paid or reimbursed.
Facility charges are there.
If using free consumer access you do not have access to the facility charges, never have.
The packages put out by FairHealth for IARP do include facility charges.
The charges are in percentiles.
Outpatient is the facility charge for the procedure, etc.
Inpatient is the facility charge for the MS-DRG total and also can input for per day.
Hope this helps.
Ann
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Sylvia Ann Maniha
ann.maniha@gmail.comHouston, TX United States
Original Message:
Sent: 03-04-2016 15:14
From: Valerie Purcell
Subject: Jeff Newbauer's presentation
The FairHealth data can be pulled by CPT code and represents out of pocket versus reimbursed rates applicable to physicians' fees for surgical procedures, fees for radiology and physical therapy, labs, etc. Facility charges are not included in the FairHealth database.
As I understand it from discussion with Jeff, the charge for use of the FairHealth database would be based on the number of queries.
Valerie Purcell, RN, MBA, CPHQ, CLCP
LifeCare Collaborative
Houston, TX
www.lifecarecol.com