CDM Management Ideas

CDM Transparency – 1Q19 Update 

CDM Transparency – 1Q19 update   The CMS “Pricing Transparency” regulatory requirements kept hospitals and their trusted consulting partners busy over the past few months. This article shares information on the current state of the industry, hospital needs, best practices, benefits of chargemaster software, and expectations for the future.   Where we are Today In […]

Annual CDM Update Tasks You May Have Missed

Annual CDM Update Tasks You May Have Missed On January 1st, hospital and other healthcare provider claims fell under new coding and payment rules….Seems like ages ago doesn’t it?  Whether your team only needs to monitor charge data changes already completed, or just getting around to them; now is the time to regroup on charge […]

Q&A from CMS Leaves Hospital Questions Unanswered

H&A CDM Transparency Series CMS has provided more clarification on the hospital charge transparency mandate effective 1/1/19. Since the release of our 9/4/18 article, we have presented to an HFMA chapter meeting, and participated in numerous calls with customers and business colleagues  to hear what others are planning. State Hospital Association representatives have requested CMS […]

IPPS CDM Public Access Announcement Causing Confusion & Concerns: Tips for Hospital Action Plans

In this H&A CDM Transparency Series we focus on IPPS CDM Public Access Regulations focusing on tips for hospital action plans. In this post, we have included unknowns and questions in”What Hospitals are Asking”, our forecasts of”What to Expect”, and our thoughts on”What You Can Do”. What hospitals are asking The relatively-vague CMS publication requirements […]

IPPS CDM Public Access Announcement Causing Confusion & Concerns: Part 1 New Medicare Rules

With minimal guidance in the IPPS Final Rule, hospital teams are wondering how they should address expanded Charge Master publication requirements coming in January. Many have concerns about anti-competitive and public relations impacts. Others are more focused on the operational processes that need to be done during the busy fourth quarter. In this H&A CDM […]

Succeed with Internal Pricing Analysis: Part 3. Avoid Pricing Analysis Pitfalls

    Succeed with Internal Pricing Analysis: Part 3. Avoid Pricing Analysis Pitfalls   In Part 1 of our “Succeed with Internal Pricing Analysis” series, we outlined strategic planning tips to help your in-house pricing project run smoothly. Part 2 provided examples of analytical options. This is our final article of this series and addresses […]

Succeed with Internal Pricing Analysis: Part 2. Fundamental Audit Protocols

  Succeed with Internal Pricing Analysis: Part 2. Fundamental Audit Protocols   As budgets tighten and consulting investment is scrutinized, many health systems are internalizing pricing analyses and updates. Using ChargeAssist®, proactive customers analyze and monitor prices to: Support compliance with payer or state limitations on pricing updates Identify prices that have an extreme variance […]

Succeed with Internal Pricing Analysis: Part 1. Have a Plan & Set Parameters

  Succeed with Internal Pricing Analysis: Part 1. Have a Plan & Set Parameters   “Succeed with Internal Pricing Analysis” Series Overview: In this three-part series, we will share strategic planning ideas, identify fundamental audit protocols to consider when defining your pricing analysis, and outline specific risks to avoid when performing internalized pricing studies. This […]

Charge Master “Spring Cleaning” Tips

Charge Master “Spring Cleaning” Tips Now that the 1st quarter of 2018 is behind us, it’s time to revisit your organization’s Charge Management priorities. Here are seven easy “Spring Cleaning” tips that result in dramatic, strategic improvements. I.   Identify Charge Management Priority Issues All Charge Master Teams tell us they face a constant barrage of […]

Charge Master Implant Issues: Revisiting Definitions

Charge Master Implant Issues: Revisiting Definitions In 2014 we summarized various definitions of implants and the challenges for data accuracy within the Charge Master file. As time has passed, we have found that this topic continues to be challenging for hospital Revenue Cycle and Charge Master Teams. This is an updated article from our July […]