Outpatient Surgery Magazine

OR Excellence 2019 Awards - September 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1164519

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Page 33 of 144

format that includes additional information such as common billing or accounting codes used by the hospital, so as to provide a common framework for comparing standard charges from hospital to hospital; and • make public payer-specific negotiated charges for common shop- pable services available in a consumer-friendly manner. As can be expected, consumer advocates applaud the notion of transparency in healthcare pricing. Hospitals, providers and payers, on the other hand, generally treat their negotiated rates as highly secure trade secrets. After all, once competitors know what rates a facility or medical group would accept, or can be had from a particular payer, the entity's competitive edge is instantly dulled. What are you looking at? But there's another way to use the push toward healthcare trans- parency: as a tool for your facility's internal improvement. There's transparency and then there's transparency. We all know what it's like to drive on a foggy night. Sure, the windshield is clean and the glass is completely transparent. But what we see is, well, mostly nothing. Just as looking from the driver's seat through the transparent windshield and seeing only fog is disorienting, that is, uninformative, so, too, is looking into a car's windshield when it's cov- ered with frost — all you see is a white haze. In a similar manner, you can't understand your internal data if it, too, is mired in opaqueness. Consider the challenges hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) face in providing accurate cost-per-case data: For HOPDs: • Computer systems within the hospital might not interface with each other, or, if they do, don't do so in real time; Regulatory Affairs RA 3 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 1 9

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