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CDM Transparency – 1Q19 Update 

This article shares information on the current state of the industry, hospital needs, best practices, benefits of chargemaster software, and expectations for the future.

Annual CDM Update Tasks Your Team Can Easily Miss

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.

What Your Shopping Public Needs to Know

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 – 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 […]

CMS’ FAQs for Price 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 […]

Price Transparency Requirements for Hospitals

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 […]

IPPS CDM Announcement: Tips for Hospital Action Plans

IPPS 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 […]

IPPS CDM Announcement: Part 1 New Medicare Rules

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 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

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

  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 […]