Price Transparency Rule, Chargemaster & Pricing Considerations
Hospital price transparency has been at the forefront of much debate and regulation since the advent of the ACA. Learn the key requirements for price transparency that are in place as of 2025. Core to price transparency is the chargemaster and the various charges required to be made publicly available. Understand how strategic defensible pricing is critical as well as best practices around maintaining the hospital chargemaster in this transparent environment.
Learning Objectives
Share the Price Transparency rule & updates for 2024/2025
Discuss Chargemaster Best Practices and Revenue Integrity Function
Evaluate how pricing and the chargemaster are connected.
Learn methods in managing chargemaster updates.
Identify key compliance actions related to recent executive orders
Understand the role of strategic and defensible pricing in today’s environment
Explore common pitfalls in chargemaster management
Recognize how transparency impacts patient trust and payer negotiations
Areas Covered in the Session
Overview of the hospital price transparency rule
Recent requirements of the price transparency rules effective in 2024 and 2025
Recent Executive Order regarding actions to be taken within 90 days of Feb 25, 2025
Overview of the hospital chargemaster
Successful chargemaster maintenance
Overview of a revenue integrity function
Strategic hospital pricing
Defensible hospital pricing
Live Q&A Session
Suggested Attendees
CFOs
Controllers
Revenue Integrity Professionals
Revenue Cycle Professionals
Pricing Professionals
Chargemaster Analysts & Coordinators
Pricing Analysts & Strategy Consultants
Health Information Management (HIM) Directors & Staff
Clinical Documentation Integrity (CDI) Specialists
Coding & Billing Managers
Compliance & Regulatory Affairs Officers
Managed Care Contracting Specialists
Healthcare Quality & Performance Improvement Professionals
Chief Operating Officers (COOs)
Hospital Administrators & Directors
Utilization Review and Case Management Professionals
IT & Systems Analysts (Involved in Chargemaster or Revenue Systems)
Healthcare Consultants & Auditors
Policy Advisors in Health Systems
Medical Group Practice Managers
Ambulatory & Outpatient Care Leaders
Legal Counsel in Healthcare Compliance
Health Plan & Payer Representatives Involved in Provider Contracts
Strategic Planning & Business Development Executives in Healthcare
About the Presenter
Joy Krush, RHIT, CCS, CCS-P, CDIP, is a senior healthcare manager with Eide Bailly LLP, in Bismarck, North Dakota. She has more than 30 years of experience in the healthcare industry with an emphasis in coding, HIM, compliance, charge capture, and documentation improvement. She is trained in ICD-10, Current Procedural Terminology (CPT®), and clinical documentation integrity with understanding of MS-DRGs and APC payment methodologies. Krush provides reviews of facilities’ chargemasters to evaluate overall accuracy of coding, revenue codes, and line-item descriptions and assists with implementation of chargemaster recommendations. She performs coding and documentation reviews for facility reimbursement and quality and has experience managing appeals to Recovery Auditors and other payers for DRG and APC denials. She assists clients with day-to-day revenue cycle questions, including questions and processes related to behavioral health services. She has served as president of the North Dakota Health Information Management Association (NDHIMA) and in several other positions with NDHIMA. She is a member of AHIMA and has served on the AHIMA’s Revenue Cycle Practice Council and Legislative committee.
Additional Information
System Requirement:
Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to hear clearly
Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.
For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com