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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.
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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!
Tuesday, March 05, 2019
Simply put, a provider based department is a location where hospitals provide services to their patients that is outside of the traditional main hospital. This year, there are a few changes to how these departments are defined and billed as prescribed in the CY19 Medicare Physician Fee Schedule Final Rule.
The 4 types of Provider Based Departments (PBDs) remain unchanged.
On Campus – Less than 250 yards from main hospitalOff Campus – More than 250 yards from main hospitalRe...
Tuesday, February 12, 2019
A clear sense of current market trends, cost of care, and demonstrated efficiencies that reduce cost are essential elements of contract negotiation preparations.
Negotiation leverage, in terms of hospital control, comes from several sources. The most recognized driver is market power based on geographical area or demographic factors. However, hospital/payer relationships, service offerings needed in the community, and negotiation skill and/or negotiation philosophy are other important dri...
Friday, January 25, 2019
Obtaining an accurate perspective on the meaning and relative impacts of cost and payment increases in the healthcare industry depends on the specific metrics that provide the basis for the analysis.
To no one’s surprise, health care was a primary political issue in the Fall midterm elections. Everyone knows that our country spends more on health care as a percentage of GDP than other developed countries. The primary question that the industry has long grappled with is whether we, as a ...
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...