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Rehabilitation Hospital

Encompass Health Rehabilitation Hospital Of Modesto

Encompass Health · Modesto, CA

1303 Mable Avenue, Modesto, CA 953552098573400

50

Beds

About this hospital

Encompass Health Rehabilitation Hospital Of Modesto is a 50-bed hospital in Modesto, CA, affiliated with Encompass Health.

CCN (Medicare provider number)

053040

NPI

1598139891

Type

Rehabilitation Hospital

Beds

50

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Medicare

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

Book a call about hospital compliance MRFs

No contract information available for this hospital.

Contract data may be available through direct hospital inquiry.

Location

1303 Mable Avenue, Modesto, CA 95355

2098573400

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Frequently asked questions

About Encompass Health Rehabilitation Hospital Of Modesto's rates and hospital price transparency.

How many beds does Encompass Health Rehabilitation Hospital Of Modesto have?

Encompass Health Rehabilitation Hospital Of Modesto has 50 beds. Facility type: Rehabilitation Hospital.

Where is Encompass Health Rehabilitation Hospital Of Modesto and what is its phone number?

Encompass Health Rehabilitation Hospital Of Modesto is located at 1303 Mable Avenue, Modesto, CA 95355. Its main phone number is 2098573400.

What is Encompass Health Rehabilitation Hospital Of Modesto's CCN (Medicare provider number)?

Encompass Health Rehabilitation Hospital Of Modesto's CMS Certification Number (CCN), also called its Medicare provider number, is 053040.

What is Encompass Health Rehabilitation Hospital Of Modesto's NPI number?

The National Provider Identifier (NPI) on file for Encompass Health Rehabilitation Hospital Of Modesto is 1598139891.

What health system is Encompass Health Rehabilitation Hospital Of Modesto part of?

Encompass Health Rehabilitation Hospital Of Modesto is affiliated with Encompass Health.

What is a hospital price transparency MRF?

Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.

What is a chargemaster review?

A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster