Medicare Payment Policy

Braid-Forbes is one of the few firms with established capabilities to replicate Medicare rate-setting methodology for:

  • Hospital Outpatient Prospective Payment System (OPPS)
  • Physician Practice Expense Relative Value Units (PE RVU)
  • Inpatient Prospective Payment System (IPPS)

We specialize in: 

  • Cost analyses for New Technology Add-on Payment (NTAP) and DRG change applications
  • Analysis for comment letters in response to Medicare payment rules (OPPS, Physician, IPPS)
  • Estimate Physician Practice Expense Relative Value Units for new codes or changes to input assumptions for existing codes
  • Legislative Cost Estimates (“CBO” Scoring) with methodology used by the Congressional Budget Office (CBO)
  • Tailored training on Medicare payment policies and calculations
Explore Data
Image

Explore
Other
Services

Market
Analysis and
Sales Tools

Learn More

Healthcare
Economic
Studies

Learn More