Developing a pricing strategy for the 2019 CMS transparency requirement
The push for health care price transparency is nothing new and can be traced back almost 15 years. When CMS released their final 2019 Inpatient Prospective Payment System (IPPS) rules including "requirements for hospitals to make public, a list of their standard charges via the internet," it further underscored CMS' continued effort for hospitals and health systems to provide price transparency.
This webinar will provide a brief background on pricing transparency issues for hospitals and health systems and then will take a deeper dive into what actions organizations can take to prepare for the CMS price transparency requirements that are effective January 1, 2019.
Finally, we will provide a checklist of recommended steps to ensure your facility is ready for the 2019 IPPS Price Transparency regulation.
Certified Inpatient Coding Auditor (CICA)
The HFMA Certified Inpatient Coding Auditor (CICA) certification validates and acknowledges the expertise of the inpatient coding auditor professional. Certified inpatient coding auditors can help your organization ensure coding accuracy, increase reimbursements, and improve overall revenue cycle performance. The CICA certification is the only certification currently available to impatient coding auditors and it tests across all coding auditor responsibilities, including:
- Documentation and coding accuracy and specificity
- DRG assignment, case mix index, quality initiatives, MACs, RACs
- The impact of accurate documentation and coding on overall revenue cycle
The coursework to prepare for the Certified Impatient Coding Auditor assessment is available through HFMA's collaboration with Career Step LLC. The fee for this coursework is processed by Career Step LLC and is not included as part of your HFMA membership.
The CICA certification assessment is hosted by HFMA. It is comprised on 150 multiple choice questions and must be completed within 3 hours. If participants do not pass the certification assessment on the first attempt, participants can have another attempt after a mandatory 30-day waiting period. A certificate of completion suitable for framing may be downloaded upon successful completion of the assessment. Recertification is required every two years (a minimal fee is charged for non-members).