In recent news, the Centers for Medicare & Medicaid Services (CMS) have taken significant steps to enhance behavioral health services and increase transparency in hospital pricing. These crucial changes are outlined in the calendar year 2024 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) final rule with comment period.One key development is
Based on an article from Becker's Hospital report, the following pricing discrepancies were identified. A study in JAMA Health Forum analyzed Humana's pricing data for medical services in October 2022 and found that negotiated prices for office visits and procedures were highest in the upper Midwest and Southeast but lowest in the central U.S. and
The Charge Description Master (CDM) is a pivotal tool in healthcare facilities. It serves as the comprehensive price list for all medical services, ensuring pricing consistency, revenue generation, regulatory compliance, and cost transparency. To harness its power effectively, healthcare organizations should: Maintain Regular Updates: Keep the CDM current to reflect changes in pricing and
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