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Webinar: The FY19 IPPS Final Rule
The FY19 IPPS Final Rule contains requirements for hospitals to make public a list of their standard charges via the internet.
Learn what that means for your hospital.
Watch Webinar
Rate Advisor
We analyze hospital prices at the procedure code level and present an analysis of suggested rate changes designed to enhance the defensibility of proposed pricing with sensitivity to financial impact.
Contract Concierge
Coming soon! Contract benchmarking, modeling, and measurement through personal consulting with industry experts.
Strategic Advisor
We utilize extensive proprietary and public data sources to create fact-based, actionable plans to address specific client objectives.
HospitalDx®
Web-based software that creates custom analyses of financial/operating strengths, weaknesses, and opportunities. Utilizes client-submitted claims data as well as national public-use data.
Check Out The Latest Hospital Finance News!
Monday, January 07, 2019
Earlier this month, the CMS issued another responses to frequently asked questions on its website. Knowledge of – and access to – this latest posting have been limited, however, there is important information administrators have been learning from this latest update. The information in this latest update were largely not part of the original final rule language, nor part of the first responses to frequently asked questions posted earlier in the fall. In all, there have been three pieces of...
Wednesday, November 28, 2018
We had several questions following our webinar on the FY 2019 IPPS Final Rule regarding drugs and supplies. We created a matrix to help you understand the options based on billing methodology.
If you’d like to watch the full webinar, you can see it here!
Tuesday, October 02, 2018
Equivalent discharges™, our replacement measure for “adjusted discharges,” continues to gain acceptance as the new standard for volume measurement as it isn’t influenced by pricing changes and calculates a volume value specific to inpatient and outpatient areas. The latest research shows that positive growth occurred in all but three states/territories (HI, MD, PR). The national average has continued to increase, as well; climbing from 1.5% growth in our 2015 study to 5.8% in our current st...
Friday, September 07, 2018
CMS reports an estimated increase by 2.4 percent for FY 2019 in overall payments to hospitals paid under the IPPS. This increase is due to the applicable percentage increase and changes to policies related to MSDRGs, geographic adjustments, and outliers. National standardized amount increases by 1.85 percent. Hospitals paid under the hospital-specific rate will receive a 1.35 percent hospital update.
The annual hospital update includes:
9 percent market basket update
8 percentage point reduc...