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Chargemaster: Transparent and Proper Pricing for Hospitals
July 9 @ 11:30 am - 1:00 pm MDT
Hospital pricing has become a major issue in the past decade. Particular interest has been placed on the concept of ‘transparent’ pricing. While the process of establishing charges for the Chargemaster has always been difficult, the added burden of transparent pricing started in 2019 and has increased the burden and complexity of meeting requirements of regulators and expectations of patients. Included in this discussion are Diagnosis-related group (DRGs) and Ambulatory Payment Classifications (APCs) and their use in transparent pricing. This workshop discusses some of the intricacies of this process and the types of information that must be provided.
At the completion of this program, participants will be able to:
- Explain why hospital charges and pricing are in the spotlight.
- Discuss the need for transparent pricing and public relations.
- Identify the requirements for transparent pricing starting in 2019.
- Explain why charges are important for APCs and DRGs.
- Analyze the cost report and cost-to-charge ratios (CCRs).
- Define the concept of charge compression.
- Identify special charge development techniques.
- Give examples of when charges may be inappropriate.
- List action steps to adjust pricing.
CFOs, CCOs, financial planners, chargemaster coordinators, billing and claims personnel, patient financial management and cost accounting staff, managed care and compliance personnel and other employees interested in pricing.
Duane Abbey, PhD, CFP, Abbey & Abbey Consultants, Management Consultant and President
Dr. Abbey has provided health care consulting services to hospitals, physicians, and medical clinics for more than two decades.
His focus is in the areas of compliance, payment and delivery systems. In addition to consulting, he is an invited presenter for hospital associations, medical societies and other professional groups. Dr. Abbey is an established health care author.
The speaker has no real or perceived conflicts of interest that relate to this presentation.
July 2; 5:00 p.m. MDT