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We are considering skipping the 5.5 update and going straight to 5.6.
The only 5.5 item of interest are the changes to the proration rules.
 
Has anyone used the new "Reimbursement Management" feature?  Does it
have the features necessary to handle really complex contracts?
 
Our sticking point on the old proration rules are clauses where we have
carve outs for mid-stay events like ECMO plus other carve outs and
stop losses.  It doesn't help that we interim bill and have long patient
stays for preemies and other seriously sick kids.  The current proration
rules become much to ponderous and under powered to handle our needs.
 
Have things changed?
 
Thomas Stephen Laxar
Coordinator, Hospital Information Systems
Children's Hospital Oakland
510-428-3833
[EMAIL PROTECTED]
 
 
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