hospital pricing

The Chargemaster: What your Shopping Public Needs to Know

The Chargemaster: What your Shopping Public Needs to Know Will the 2019 CMS requirements for publishing your Charge Master prices confuse patients? …Most likely…    In addition to complying with publication rules it’s important to consider the public relations aspects of publishing your prices. Despite how abstract the Charge Master and hospital pricing may be […]

CDM Transparency – More speculation & More confusion

CDM Transparency – More speculation & More confusion (Another blog in the H&A “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. […]

Q&A from CMS Leaves Hospital Questions Unanswered

H&A CDM Transparency Series CMS has provided more clarification on the hospital 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 what others are planning. State Hospital Association representatives have requested CMS […]

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 […]

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 […]

Succeed with Internal Pricing Analysis: Part 1. Have a Plan & Set Parameters

  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 […]

Charge Master “Spring Cleaning” Tips

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 of […]

Evaluate Your Team’s CDM Update Performance

Evaluate Your Team’s CDM Update Performance On January 1st, hospital and other healthcare provider claims fell under new coding and payment rules. The changes span multiple types of medical services, payment systems, coding rules and claims reporting requirements. Proactive providers understand the importance of addressing all applicable updates. However, many health systems face increasing claims […]

Charge Management Assessment

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

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 […]