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The CY20 OPPS Proposed Rule: A Response
The CY20 OPPS Proposed Rule contains additional information and requirements regarding hospital price transparency. Read our summary here!
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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, June 30, 2020
Healthcare and hospital finance have changed dramatically over the last few years, and yet there are many things that seem slow to change. One of these is the continued reliance on Adjusted Discharges or Adjusted Patient Days.
Adjusted Patient Days made perfect sense at one time. The percentage of outpatient revenue was less than 20 percent of total operating revenue, and many hospitals were being paid on a cost or per-diem basis. After that, the primary metric for total hospital volume w...
Thursday, June 18, 2020
Shoppable services, and the issues of pricing transparency indelibly connected to them, are a hot topic in the hospital industry. In the past we’ve created several reports to help hospitals who are searching for strategies to reduce prices, by focusing on procedures where they are likely to have the most competition from free-standing providers. In that spirit, we created the Cleverley Consumer Shoppable Report.
This report allows you to compare your hospital’s charges with those of selec...
Wednesday, June 03, 2020
The 2021 Inpatient Prospective Payment Systems (IPPS) proposed
rule is out and as data nerds, we could not wait to dig into it and see what
changed. A comparison of Table 5 – listing of MS-DRGs and relative weights – is
a great place to start.
Quick refresher on terms:
Medicare
Severity-Diagnosis Related Group (MS-DRG) is a classification system for
inpatient discharges that helps standardize payment of services.Relative
Weight (RW) reflects the patient’s severity of illness and is a m...
Tuesday, April 28, 2020
COVID-19 has dramatically impacted the hospital industry. As hospitals adjust to new challenges, they must also face questions about new procedures and treatment requirements. Last week we took a close look at how hospitals are pricing COVID-19 lab tests. Now, let’s take a look at isolation rooms.
We sent out a survey to assess how hospitals were approaching this new pricing challenge. We received 40 responses.
Some of the questions focused on isolations rooms. These are not alwa...