Transparent and Proper Pricing for Hospitals

Recorded Webinar | Duane C. Abbey | From: Dec 20, 2018 - To: Dec 26, 2018

Training Options & Pricing

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Recording     $218
DVD     $228
Recording + DVD     $378
Transcript (Pdf)     $218
Recording & Transcript (Pdf)     $368
DVD & Transcript (Pdf)     $388

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Description

Part of a generalized chargemaster sequence of presentations. Associated with special payment system presentation on APCs and DRGs.

Why Should You Attend? 

  • Why are hospital charges and pricing so controversial?
  • How did hospital prices become inflated?
  • What is this ‘transparent pricing’?
  • What are these device-dependent APCs and DRGs?
  • What is all the fuss about ‘charge compression’?
  • How can we control our cost-to-charge ratios?
  • How should we be pricing devices? Supplies? Drugs? Biologicals
  • Are we missing charges in connection with supplies and pharmacy items?
  • What can we do to adjust our pricing and address charge compression?
  • How does all this affect APC and DRG reimbursement?
  • How does our pricing structure impact the cost report?

Objectives of the Session: 

  • To Appreciate Why Hospital Charges and Pricing Are In The Spotlight
  • To Appreciate The Need for Transparent Pricing and Public Relations
  • To Understand Why Charges Are Important for APCs and DRGs.
  • To Appreciate the Cost Report and Cost-to-Charge Ratios (CCRs)
  • To Understand The Concept of ‘Charge Compression’
  • To Understand Special Charge Development Techniques
  • To Recognize When Charges May Be Inappropriate
  • To Recognize When Full Charges Are Not Being Reported
  • To Appreciate How Charges and Pricing Impact on the Cost Report
  • To Review Action Steps to Adjust Pricing

Agenda of the Session: 

  1. Overview of Developing Chargemaster Pricing and Charges
    • The Need For Change
    • Charge Formulas and Mark-Up Formulas
    • Strategies for Adjusting Pricing
    • Transparent Pricing
    • Strategic Pricing
    • Geographic Pricing
    • Pricing Disparities Among Hospitals
  2. Types of Payment Systems and Use of Charge Data
    • APCs
      • Increased Packaging
      • Comprehensive APCs
    • DRGs
    • MPFS
    • Cost Based Payments
    • Contractual Payment Strategies
  3. Charge-Compression, Cost-to-Charge Ratios and the Cost Report
    • Tiered Pricing for Supplies and Drugs
    • Charge Compression and Cost-to-Charge Ratios
    • Cost Reporting Issues
    • RTI International Recommendations
    • Medicare Changes to the Cost Report for Devices
    • Cost Report Changes for Special Areas
  4. CMS Use of Charges to Determine Weights
    • Converting Charges to Costs
    • APCs
    • MS-DRGs – Charge-Based vs. Cost-Based
  5. Pricing and Charge Formulas
    • Overall Charge Philosophy
    • Bundling versus Separately Charging
    • Proper Charging Even Though No Separate Payment
  6. Making Pricing More Transparent
    • Patient Sensitivity
    • Release of Hospital Chargemaster – What Good Does it Do?
  7. Cost Report Impact Through Charges and Pricing Structures
    • Compliance Issues for Establishing Charge Structures
    • Patient Acceptance and Understanding of Charge Structures
  8. Chargemaster Coordinator Action Steps

Suggested Attendees: 

  • Chargemaster Coordinators
  • Billing and Claims Generation Personnel
  • Compliance Personnel
  • Patient Financial Management Personnel
  • Cost Accounting Personnel
  • Cost Report Personnel
  • Financial Analysts
  • Managed Care Contract Personnel
  • Revenue Enhancement Personnel
  • Chief Financial Officers
  • Chief Compliance Officers
  • Financial Planners
  • Reimbursement Specialists
  • Revenue Cycle Specialist
  • Public Relations
  • Planning Specialists
  • All Other Hospital Personnel Interested in Pricing
 
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