Proactive monitoring of CMS and other payer coding and claims requirements is more essential now than ever to ensure correct charging, billing and payments.
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.
Laboratory departments will need to stay vigilant for additional AMA and CMS updates for COVID test coding as well as other regulatory changes during the Public Health Emergency period.
H&A Comments on Hospital Price Transparency Final Rule Price transparency mandates will take on new and more extensive requirements based on a Final Rule published within the Federal Register on 11/16/19. Despite many comments from the industry regarding the rule’s implementation challenges and administrative burdens, CMS’ requirements remain closely aligned with the Proposed Rule and […]
Public Comments on Price Transparency were significant. Hospitals and health systems need to start planning now for expanded requirements from CMS.
Here is the H&A Comment Letter to CMS on expanded price transparency for 2020.
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.
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.