Seeing Through Pricing Transparency

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Seeing Through Pricing Transparency - On-Demand

Product Code: YHHA111820A

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Seeing Through Pricing Transparency - On-Demand

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Available ON-DEMAND

Presented on:
Wednesday, November 18, 2020 

Presented by: Caroline Rader Znaniec, MBA, MS-HCA

With increased public and regulatory scrutiny and challenging new Medicare requirements, pricing transparency is one of the biggest and most complex challenges facing healthcare organizations. But although the stakes are high, many find pricing transparency closer to opaque. Understanding Medicare’s requirements is only the tip of the iceberg. Organizations must fully understand how Medicare defines hospital charges as well as their own pricing strategies and how they compare to other organizations.

In addition, organizations need to consider the broader implications of pricing transparency and make informed decisions to develop future pricing strategies and adapt to evolving regulations and marketplace pressures. Gaps in compliance or failure to adapt pricing strategies will undermine revenue, but the development of policies and processes can drain already limited resources.

In this 90-minute webinar with Q&A, expert speaker Caroline Rader Znaniec, MBA, MS-HCA, will clear up the confusion surrounding pricing transparency. Znaniec will walk attendees through current and potential future pricing transparency requirements. She’ll explain price methodologies and models, how they’re affected by pricing transparency, and how organizations can adapt. Attendees will gain a nuanced understanding of how to evaluate pricing models and best practices for maintaining the pricing model they’ve chosen.

At the conclusion of this program, participants will be able to:

  • Explain the regulatory requirements of pricing transparency
  • Identify pricing strategies utilized nationally
  • Contrast the pros and cons of various pricing strategies
  • Construct a pricing methodology that best fits the needs of the organization
  • Recognize strategies for maintaining pricing transparency


This program will cover:

  • Introduction to pricing transparency
    • History of healthcare pricing
    • Current regulatory requirements
    • Future of healthcare pricing
  • Methodologies in pricing in a transparent world
    • Setting prices
      • Sources
        • National fee schedules
        • Payer contracts
        • Costs
      • Markup strategies
        • Percentage over source
        • Tiered
        • Frequency
      • Frequency of change and review
  • Strategies and considerations in developing a pricing model
    • Like and similar services
    • Same service/varied areas
    • Time-based services vs. flat fee
    • Intensity of services
    • Sensitivity and transparency
  • Maintaining your pricing model
    • Frequency of change and review
    • Resources
    • Related stakeholders 

Who Should Listen?

  • Revenue integrity directors/managers
  • Revenue integrity analysts
  • Revenue integrity staff
  • Revenue cycle directors/managers
  • Revenue cycle staff
  • Chargemaster directors/managers
  • Chargemaster analysts/coordinators
  • Chargemaster staff
  • HIM directors/managers
  • Patient financial services directors/managers
  • Managed care directors
  • Payer contracting staff
  • Compliance officers
  • Billing staff

Meet the Speaker

Caroline Rader Znaniec

Caroline Rader Znaniec, MBA, MS-HCA, is a managing director in CohnReznick’s healthcare practice. She has 24 years of healthcare industry and consulting experience with expertise in healthcare strategy and revenue cycle transformation. Znaniec works with various healthcare provider organizations, including hospitals, health systems, skilled nursing facilities, home health, physician groups and clinics, freestanding providers, payers, private equity groups, and investors of healthcare providers.

Continuing Education

This program has the prior approval of AAPC for 1.5 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

Ability to claim credits for this webinar expires on: 11/30/21

This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

Ability to claim credits for this webinar expires on: 11/18/21

National Association of Healthcare Revenue Integrity (NAHRI)
This program has been approved for continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).


Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.