Hot Revenue Cycle Compliance Topics

Steve Gillis, Director, Compliance & Coding, Billing & Audit, Partners Healthcare. Daniel Esquibel, Senior Manager, Risk and Financial Advisory, Deloitte.

September 11, 2020

  • Provide an overview of price transparency rules for hospitals, including definition of standard charges and requirements for machine-readable and customer-friendly files

  • Highlight strategic considerations for health systems of the Transparency in Coverage rule for payers, including employers offering self-funded coverage

  • Highlight strategic considerations for health systems of the Transparency in Coverage rule for payers, including employers offering self-funded coverage

  • Addresses interaction of price transparency regulatory initiative with other federal rulemaking activities

  • Identify new billing compliance risk areas that should be evaluated based on industry changes and recent OIG and other government agency reports

  • Discuss methods for evaluating and monitoring new billing compliance risk areas

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