Posts

Hospital Zero-Base Pricing® A Novel Approach to Establishing Rational Chargemaster Prices

Can You Document and Defend Your Chargemaster Prices Under the 2020 CMS Final Rule?   

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Whitepaper: 8 Steps to Reveal Incremental Revenue and Reduce Risk Related to “Lesser-of” and “Stop-Loss” Contract Clauses

Restructuring of the hospital’s chargemaster in this era of transparent pricing often results in material increases and decreases in line item charges to align with market norms, unit costs, or a hybrid thereof. Learn how your organization can enhance its financial performance in this environment.

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Whitepaper: Managing the Chargemaster As The Fuel of the Revenue Engine

Hospital leadership responsible for achieving financial goals that include revenue growth, expense management, and operating margins is facing the growing importance of chargemaster integrity. We attribute the challenge of managing financial goals to the accuracy of charge data, complex systems impacting the ability to view the data, and the rapidly changing healthcare environment.

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Whitepaper: Combating Denials and DRG Downgrading

Payer strategies are evolving quickly, and healthcare organizations must be alert to make the most of revenue opportunities while mitigating claims denials. In light of recent denials and DRG downgrading by payers, how your organization adapts will profoundly affect your reimbursements. An organization’s own internal review can set the stage for monitoring and remediating any inappropriate downgrading of DRGs by the payer.

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