In an era where data-driven scrutiny and patient-centered decision-making converge, the importance of defensible pricing in healthcare cannot be overstated. By strategically aligning prices with actual costs and market dynamics, providers can weather the storm of price transparency and emerge as leaders in a landscape defined by trust, competitiveness, and financial sustainability.
Register today to learn about the critical implications of the CMS OPPS Proposed Rule on Price Transparency Changes for 2024. Choose from two dates: Tuesday, August 22, or Thursday, September 14, from 11 a.m. to 12 p.m. (CDT).
Expansion—through mergers, acquisitions, joint ventures and other strategic partnerships—has become an important tool in a hospital’s strategic wheelhouse. As your footprint expands to encompass the entire continuum of care, how do you ensure your chargemaster strategy is sound and consistent?
In the ever-evolving landscape of healthcare regulations, one crucial aspect that healthcare entities must prioritize is exclusion screening.
Busy revenue cycle teams often overlook the basic steps of charge data management to attend to more urgent priorities. These proven steps covered in this article are pivotal to keeping “charge data management” a key operational priority.
Have the federal payment policy adjustments implemented in 2021 meaningfully reduced the pay gap between specialists and primary care physicians (PCPs)? A recent JAMA study appears to have yielded the answer: yes—but not by nearly enough.
Over the last decade, one of the most exciting areas of development in healthcare has been the growth of structural heart and interventional cardiology programs—specifically, the advancement of transcatheter valvular procedure techniques. As the ability to treat a larger population using these novel techniques expands, so must our understanding of the nuances involved in navigating the current rules and regulations from both the clinical and revenue cycle perspectives.
External audits are rapidly returning to full operating force following a lull that took place amid the worst of the COVID-19 pandemic. Amidst a time of shrinking operating margins and heightened scrutiny by federal healthcare contractors, providers are seeking to focus on the benefits of technology-driven internal auditing.
Have you ever wondered how hospital prices became so irrational? As is often the case, things changed incrementally. Hospitals and healthcare systems have experienced years of inadequate inflationary update factors, often reduced by factors such as presumed over-coding under the federal inpatient and outpatient prospective payment systems.