An Executive Order was recently issued stipulating expanded healthcare price and quality transparency mandates. Hospital leadership, Revenue Cycle, and CDM Teams must carefully monitor how these mandates unfold.
CDM Management Ideas
This blog post includes common challenges as well as the best five 'Insider Tips’ for a more proactive approach when selecting a new CDM tool.
Price Transparency “Round 2”– CMS Seeks Input The CMS “Pricing Transparency” may be taking a more significant turn based on a proposed rule from March 4, 2019. The topic of hospital prices has now been intertwined with potentially expanding rules on “information blocking”. This article shares a section of the language from a March 4th […]
This evaluation helps you assess where your facility is in the annual CDM Update process. Department CDM Update Internal Evaluation (Send to all Department Representatives involved in your annual CDM update process) Points Quality/Frequency (as applicable) 1 Bad 2 Poor 3 Fair 4 Good 5 Excellent 0 Not applicable Evaluation Questions ____ 1. Orientation […]
This article shares information on the current state of the industry, hospital needs, best practices, benefits of chargemaster software, and expectations for the future.
On January 1st, hospital and other healthcare provider claims annually fall under new coding and payment rules. We’ve compiled a checklist of several key tasks to help ensure complete implementation of the annual 1st quarter's CDM updates, and readiness for the other important, yet smaller quarterly updates.
The Chargemaster: What your Shopping Public Needs to Know Will the 2019 CMS chargemaster pricing transparency requirements confuse patients? …Most likely… Hospitals will likely vary in the details and scope of their patient communications relative to pricing transparency and Charge Master publication. We have provided ideas for how to communicate with your shopping public to […]
CDM Transparency – More speculation & More confusion (CDM Transparency Series) Late in the year, we find ourselves working with limited details and much industry concern about the CMS Charge Master publication requirements. Here at H&A, we’ve been collaborating with colleagues and clients alike to hear what hospitals are planning to meet the CDM Transparency […]
This post section includes Medicare’s original FAQ document on Price Transparency. (Further CMS FAQs are in the section that follows.) Frequently Asked Questions Regarding Requirements for Hospitals To Make Public a List of Their Standard Charges via the Internet Q. What format is a hospital required to use to make public a list of their […]
Q&A from CMS Leaves Hospital Questions Unanswered H&A CDM Transparency Series CMS has provided more clarification on the requirements for hospitals with the 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 […]