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 […]
October 29, 2018 | Category:
CDM Management Ideas | Tags:
2019 Final Rule,
2019 Inpatient Prospective payment system Final Rule,
2019 IPPS FR,
cdm,
CDM Publication,
Charge Master,
Charge Master publication,
Chargemaster,
Chargemaster publication,
CMS,
Hospital price transparency,
hospital pricing,
hospital pricing transparency,
medicare,
Pricing Transparency,
Public,
public chargemaster,
TransparencyQ&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 […]
September 5, 2018 | Category:
CDM Management Ideas | Tags:
2019 Final Rule,
2019 Inpatient Prospective payment system Final Rule,
2019 IPPS FR,
cdm,
CDM Publication,
Charge Master,
Charge Master publication,
Chargemaster,
Chargemaster publication,
CMS,
Hospital price transparency,
hospital pricing transparency,
medicare,
Public,
public chargemaster,
TransparencyIPPS CDM Public Access Announcement Causing Confusion & Concerns: Tips for Hospital Action Plans In this H&A CDM Pricing Transparency Series we focus on IPPS CDM Public Access Regulations focusing on tips for hospital action plans. The migration towards full pricing transparency is clearly underway and appears to be here to stay. We have included […]
September 5, 2018 | Category:
CDM Management Ideas | Tags:
2019 Final Rule,
2019 Inpatient Prospective payment system Final Rule,
2019 IPPS FR,
cdm,
CDM Publication,
Charge Master,
Charge Master publication,
Chargemaster,
Chargemaster publication,
CMS,
Hospital price transparency,
hospital pricing transparency,
medicare,
Public,
public chargemaster,
TransparencyIPPS 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 regarding price transparency coming in January. Many have concerns about anti-competitive and public relations impacts. Others are more focused on […]
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 risks to avoid. […]
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 to […]
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 article focuses […]
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 […]
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 […]
