Preparing for Third-Party Payer Audits

Thanks to the Coronavirus Aid, Relief, and Economic Security (CARES) Act, hundreds of billions of dollars have flowed into the U.S. healthcare system, providing a much-needed salve to begin healing wounds inflicted by COVID-19. Unfortunately, along with those funds comes the very real possibility of an audit. All providers that receive a total of $10,000 [...]

Hospital Price Transparency

What's New In late 2019, after months of discussion, CMS released its final rule on hospital transparency, mandating the disclosure of standard charges as well as negotiated rates. This update followed closely on the heels of the 2019 CMS requirement that hospitals publicly post their chargemasters and the subsequent executive order from President Trump calling [...]

2020-10-13T15:59:26-05:00October 13th, 2020|HOSPITALS & HEALTH SYSTEMS|

New Opportunities Arise if Hospitals Embrace Pricing Transparency

In a sweeping effort to empower patients, hospitals are now required by the federal government to post their standard service costs online. This new price transparency rule seeks to provide the public with a more traditional consumer experience, unveiling more information for patients to consider when making critical healthcare decisions. The question is, will this [...]

2020-10-20T09:28:48-05:00August 30th, 2020|HEALTHCARE, HOSPITALS & HEALTH SYSTEMS|