CDM Pricing & Analysis
Clear, Defensible, AND Viable Recommendations
Providers included in our database
1,850,000+
Hospitals included in our database
7,000+
Historic saved data
10 years
Custom CDM Pricing & Analysis strategies to meet market,
transparency, and
revenue goals.
We help refine your charge master strategy through market analysis, reimbursement modeling, and proven strategic planning.
Partnering with CFOs and revenue cycle leaders, we ensure pricing supports financial goals, remains competitive, and stays compliant.
01
We begin by understanding your goals, concerns, and timeline.
02
Data integration and reimbursement experts extract and integrate the key data needed for the pricing study.
03
Deliver a market-based assessment with proprietary metrics and financial impact modeling to evaluate pricing alignment.
Features of Your Consulting Engagement.
What it is
How it’s used
MARKET ANALYSIS
Using public and proprietary data and metrics, we provide a comprehensive review of your market position.
Create a comprehensive and defensible pricing strategy and better understand relationships between hospitals and freestanding peers.
Reimbursement Analysis
Comprehensive review of managed care contract terms and conditions by industry experts.
Provides a thorough understanding of your payment terms and methodologies which is used to create precise and accurate revenue models.
Strategic Analysis
Addresses specific areas or concern such as:
- Payer CDM disallowed items
- Billing system and/or CDM structural conversions
- Pharmacy and supply policies
- CDM price alignment
Review and model specific areas of concern.
Custom areas of Review
Incorporates all areas of review and creates strategic guidance to match project objectives.
Actionable and comprehensive project deliverables that are easy to implement.
MARKET ANALYSIS
What it is
Using public and proprietary data and metrics, we provide a comprehensive review of your market position.
How it’s used
Create a comprehensive and defensible pricing strategy and better understand relationships between hospitals and freestanding peers.
Reimbursement Analysis
What it is
Comprehensive review of managed care contract terms and conditions by industry experts.
How it’s used
Provides a thorough understanding of your payment terms and methodologies which is used to create precise and accurate revenue models.
Strategic Analysis
What it is
Addresses specific areas or concern such as:
- Payer CDM disallowed items
- Billing system and/or CDM structural conversions
- Pharmacy and supply policies
- CDM price alignment
How it’s used
Review and model specific areas of concern.
Custom areas of Review
What it is
Incorporates all areas of review and creates strategic guidance to match project objectives.
How it’s used
Actionable and comprehensive project deliverables that are easy to implement.
RELATED RESOURCES
A Response to the CY20 Opps Proposed Rule (CMS-1717-P)
