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 […]
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 […]
Annual Update Processes: Build a Work Plan that Really Works This is another article in our Annual Update Process series, designed to help with your health system’s Charge Master and other masterfile update plans for year-end. Proactive teams have already begun 2018 update planning. They have used our earlier articles for tips on planning, staffing, […]
Charge Management Assessment Periodic assessments help health systems evaluate their charge and CDM Management processes, and refine their organizations’ unique priorities. The assessment that follows can be performed prior to and periodically following process improvement work to quantify charge management success. Charge Management teams can apply common risk management concepts for assessing their organizational charge […]
Hospital Prices in the News: 10 Tips Poor communication on pricing can undermine patient loyalty and community support. The recent Modern Healthcare article “Stricter Chargemaster Regulations Needed to Rein in Healthcare Pricing” may have already caused ripples in the boardroom. It’s important to know what the press is saying, and communicate proactively about your pricing […]