A federal judge dismissed the American Hospital Association’s challenge to CMS' Hospital Price Transparency Requirements final rule. The final rule, effective January 1, 2021, will require hospitals to disclose charges they privately negotiate with commercial payers, among other requirements.
For the third consecutive year, NAHRI is hosting Revenue Integrity Week to celebrate the hard work, dedication, and remarkable achievements of revenue integrity professionals across the country. As part of Revenue Integrity Week, NAHRI takes an in-depth look at trends across the industry with the 2020 State of the Revenue Integrity Industry Survey Report. The survey explores the roles and responsibilities of revenue integrity professionals, their backgrounds, and the key functions of the job.
Q. Nearly half (48%) of respondents structure their chargemaster maintenance by assigning a team to this responsibility. What should teams be aware of when maintaining their chargemaster?
A. Chargemaster teams should have representation from various areas, including ancillary departments, compliance, coding/HIM, finance, physician leadership, if possible, and of course, revenue integrity. These teams should be cognizant of the changing healthcare landscape both internally and externally—this year especially due to COVID-19—and the impact this has had or may have on chargemaster structure, pricing, charge capture, and overall compliance. Moreover, they should be positioned to take a proactive rather than reactive approach to the constant barrage of data, new code sets, and shift to a “hospital without walls” mentality.
Calling all Revenue Integrity Investigators! Revenue Integrity Week (June 1‒5) is just days away and NAHRI has a lot in store to ensure we all recognize the dedication of revenue integrity professionals while taking some time for education, networking, and most importantly fun.
CMS’ fiscal year (FY) 2021 Inpatient Prospective Payment System (IPPS) proposed rule, released May 11, proposes new price transparency requirements focused on reporting of negotiated charges.
