Price Transparency Rule, Chargemaster & Pricing Considerations

Event Materials (Key Required)

Course Description

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.  

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Additional Information

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and 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.

Can’t Listen Live? No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience.

For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: care@skillacquire.com 

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