On July 19, 2021, the Centers for Medicare and Medicaid Services (CMS), as part of proposed rule covering a variety of subjects, including Medicare Hospital Outpatient and Ambulatory Surgery Center PPS modifications, issued a proposed rule with an opportunity to comment (the Rule) amending the hospital price transparency regulations. (The Rule is scheduled to be published in the Federal Register on August 4, 2021.) The Rule seeks to modify the existing hospital price transparency regulations codified at 45 C.F.R. part 180 Subpart C. View what may be considered the finest Contract Negotiation & Pricing Transparency Module (Patient Quote) available for Increased Productivity & Reimbursement for Hospitals & Physician Groups Use AnalyTXs AllPayor intuitively for all contracts and all methodologies for:
A: Contract Modeling of ALL carve-outs, Model year over year price increases per revenue code, per facility, Load your cost from your decision support system and model on a per case basis!!!
B: Patient Pricing! Increase collections with increased compliance Pricing transparency is good for any business, and beginning March 1, 2009, it is a CMS mandate for patient access teams. The revised Advance Beneficiary Notice (ABN) requires a cost estimate, and noncompliance carries the risk of a denied claim.
C: Denial Management Reporting, Underpayment, Overpayment, Compliance Reporting!
D: Determine your contractual allowance using your real-time data!
E: Report out all of the factors to easily roll up into your cost report!
F: Model proposed Medicare rule changes for IPPS/OPPS for the upcoming year!