Paul Fraley
Want to Shore Up a Sagging Bottom Line? Start With Your Chargemaster
Up to 1% of net patient revenue is lost due to deficient charge capture processes. According to the Healthcare Financial Management Association (HFMA) April 29, 2022, the charge description master, or CDM, is a major source of revenue leakage for healthcare providers. Understanding the connection between financial stability and CDM viability appears to be recognized…
2023 IPPS UPDATE – Effective 10.1.2022
IPPS inpatient prospective payment system – or IPPS – updates are a go for October 1, 2022. Here are the most significant changes regarding payment, reporting and requested feedback that will go into effect on that date. Payment: 2% increase in payment in 2023 – $1.6B overall. $654 M decrease in DSH payments – $6.5B…
CDM Conversion Strategy: Savvy Steps For PAS Success
Healthcare providers can relate to the huge investment of a new patient accounting system, or PAS. The time, money and resources required plus the expected dip in financial performance during transition – it’s a lot. Which makes managing the dip and reducing recovery time after go live a primary goal. Too often, unforeseen issues present…
The CDM – Leverage its Power to Drive Revenue and Compliance
About this Webinar For too long, the Charge Description Master has taken a back seat to Patient Access, HIM and A/R when it comes to driving net revenue and ensuring compliance. Plus, recent price transparency regulations have prompted providers to share information that they’re making public is accurate, complete, and reflects the organization in a…
Is Your Hospital Using Price Transparency Data to be Competitive? 2 Benchmarks to Put You in the Lead
Savvy hospitals are taking advantage of legislation that requires hospitals (and soon payers) to provide price transparency data to the public. They’re building a capability to analyze the pricing of competitors for shoppable services, and are adjusting their business models to support favorable gross charges and net revenue yield, all while ensuring defensibility of the…
Value of Patient Balance Management Program
About this Webinar Patient financial liabilities are skyrocketing and insured bad debt is growing beyond uninsured bad debt. Providers need robust Patient Access services and technology with a patient-centric approach that helps patients understand complex information about their care and how they can best accommodate the associated fees. As the patient billing experience is streamlined…
COVID-19 Public Health Emergency (PHE) Renewed. Medicaid Coverage Extended Once Again.
April 13, 2022: Recently Reuters reported that the COVID-19 PHE has been renewed. The extension allows “millions of Americans to keep getting free tests, vaccines and treatments for at least three more months,” according to the news agency. Reuters also reported that the Department of Health and Human Services (HHS) had said in a statement…
Strategic Partnerships and Outsourcing to Confront Labor Shortages
As the onslaught of COVID-19 persists into a yet another calendar year, the healthcare sector remains entrenched in economic pressure. The Great Resignation of 2021 saw record numbers of people quitting their jobs amid the pandemic, with a whopping 4.5 million US workers resigning in November alone.1 According to data from the Bureau of Labor…