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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!
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...
Thursday, September 06, 2018
To what extent is Wage Index based on payment CBSA changing from FY 2018 to FY 2019?
*Data Source: CMS, FY 2018 & 2019 IPPS Final Rule Impact Files, FY 2019 URSPA variable
*Data Source: CMS, FY 2018 & 2019 IPPS Final Rule Impact Files, FY 2019 URSPA variable
Based on the data above, the clear majority of hospitals are experiencing an increase or decrease less than 5% or no change at all (92%).
Why should hospitals be aware?
Even small changes with wage index (WI) combined with MSDRG...