Whitepapers & Case Studies

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

Today’s environment necessitates that healthcare CFOs and financial managers can explain, document, and defend the rationale behind their CDM prices. This whitepaper discusses why financial managers who previously had optimized their chargemaster prices or inherited irrational chargemasters should consider a hospital zero-base pricing initiative.

National CC/MCC Capture Rate and Case Mix Index Study

A nationwide analysis of hospitals’ case mix index trends and CC/MCC capture rates since the implementation of ICD-10. 

A Multi-Institutional Healthcare Delivery System Uses Data and Rules-Based AI to Enhance Revenue Capture and Reduce Compliance Risk

A large multi-institutional healthcare delivery system wanted to develop a charge capture program that would help all their hospitals ensure appropriate reimbursements. The solutions they considered didn’t cut it—until they found CLAIMSauditor®.

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. Ensuring that effective processes are in place for compliance with appropriate cost standards and principles will require more from leadership than before.