CorroHealth is the trusted source on pricing, coding, reimbursement, and compliance. The CorroHealth team helps clients do things better, faster, more efficiently, and with the highest levels of compliance across the full clinical revenue cycle.
One area where CorroHealth has delivered for clients includes a comprehensive platform for Price Transparency and the No Surprises Act. A single, affordable platform driving compliance, delivering Notice and Consent, and generating Good Faith Estimates is what our solution provides.
While the CorroHealth team provides their regulatory solution to meet the pressing demands of Price Transparency and the No Surprises Act, their solution lines expand to include:
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Utilization Management
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CDI
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Coding Automation and Outsourcing
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Front, Mid, and Back-end Revenue Cycle Services
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Additional regulatory specific solutions including Lab PAMA and 340b re-billing
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Industry leading Emergency Department documentation platform
Empower Your Hospital Against Rising Payer Denials
A March 2024 Premier report showed 15% of all claims submitted to private payers were denied, and hospitals spent nearly $20 billion fighting back. Increasing denial rates are more than a statistic; they're a symptom of a broader systemic challenge.
CorroHealth has your back. Learn effective strategies to combat payer denial tactics and strengthen your hospital's financial health in our recent
article.
Discover how to:
- Proactively manage revenue integrity
- Utilize advanced analytics to identify and address denial trends
- Develop a cohesive strategy to enhance compliance and reduce denials
Health System Sees 6x ROI with VISION Clinical Validation Technology™ from CorroHealth
In 2023, a leading hospital system located in the Northwestern U.S. underwent a transformative change in its Clinical Documentation Integrity (CDI) and Coding program with the adoption of VISION by CorroHealth. This AI-driven, DRG-integrity platform marked the dawn of a new era in efficiency for the organization. By selecting, scoring, and prioritizing clinical cases for review, VISION significantly enhanced the productivity of the CDI and Coding team, improving DRG integrity and revenue opportunities.
Continue reading the case study here.
CMS Overhauls Hospital Price Transparency Rule: Key Takeaways and Action Steps
Centers for Medicare & Medicaid Services (CMS) finalized changes to the hospital price transparency regulations.
CMS FACT SHEET
CMS provided a fact sheet discussing the hospital price transparency final provisions of the calendar year 2024 Hospital Outpatient Prospective Payment System final rule (CMS-1786-FC), which can be downloaded from the Federal Register
here.
RECORDED SESSION
In addition to the CMS sheet, CorroHealth Director of Consulting, Nikki Graves, presented an overview of the regulations going into 2024 and 2025. A recording of this presentation can be accessed
here.
Regulatory Promotion | Price Transparency and No Surprises Act
Hospital leadership continues to push for cost containment and reallocation of existing budget to address staffing concerns. Amid today's unique healthcare environment, additional spend for regulatory items can be difficult. CorroHealth has extended extensive discounts for Hospital Association members to assist with regulatory spend related to the Price Transparency and No Surprises Act regulatory areas.
NSA 2023 | IHA Members Solution
In 2023, the latest installment of the No Surprises Act (NSA) stipulates that affiliated co-providers will be responsible for producing:
- Their own Good Faith Estimates (GFEs) for the uninsured
- Or to be included with the Notice and Consents (NAC) for insured patients
Convening providers must combine the GFEs produced by affiliated co-providers into a consolidated GFE for insured and uninsured patients.
As IHA Members, you have direct access to a platform designed to meet this regulation. ParaRev (a CorroHealth company) has built upon its existing platform that addressed earlier components of the NSA. This comprehensive solution rounds out all aspects of the 2023 regulation.
If you missed the detailed webinar we hosted on the NSA 2023 topic, feel free to access the
recording of the session (Passcode: mx1D?uyu). The slides from this session are available
here.
Given the timeline on this regulation coming into effect on January 1, 2023, IHA has secured an easy path for your regulatory compliance.
- Review the
solution provided by ParaRev
- Access the IHA Member
preferred contract and rates
- Request a time with your ParaRev rep by emailing
randy.bernard@corrohealth.com
Randy Bernard will help schedule time with your ParaRev representative. Your ParaRev representative will answer questions you may have on the solution and help get your hospital setup with the comprehensive NSA solution.
