Include rates for Providers Posting HCPCS as Inpatient. This adds 260 more
providers with OP hospital rates.
Include rates for Providers ALWAYS Posting DRGs w/ Rev Codes. Previously,
we only included rates with NULL Rev Codes. Affects just a handful of
providers, but important ones!
New Payers:
Added SummaCare
Misc:
Always populate medicare_rate in prod tables
Remove "capitation" negotiation_arranagment from payer MRF data pulls
(only happens 0.02% of the time, but on average these rates are 7x higher
than ffs rates)
Validated Rates tiebreaker fix: in v2.3.0 we started selecting the highest
rate. This introduced problems where a hospital PoC and payer PoC validated
each other, because then the highest GC would be used (even if it
were a state-average when a hospital-reported GC is available). Now, in
this case, we rely on the hierarchy of GC sources to break ties.
Analyze: features for next week's lab template demos
Adds is_lab_code indicator
Adds medicare reference pricing for the new lab codes
Spines:
We built Physician Group Spines and Clear Rates is now using it (s/o @Nick Pattison for the design and architecture, it's quite a technical marvel he cooked up!). This will help to boost coverage and improve rates for Employer Network Check reports and add more PGs for Analyze.
Market Solutions:
Two New Drug Dosage Standardization Methods (s/o @Monika Malhotra for the research and PRs to add these net new transformations to the Clear Rates codebase!)
Uses new unit/quantity fields in Hospital MRF data to dosage standardize
Uses NDC field from Hospital MRF data + strength/strength_unit from Medispan to dosage standardize