NOW YOU CAN ESTABLISH DEFENSIBLE CDM PRICES 
            BASED ON COSTS, MARKETS & CONTRACTS WITH CDM FOCUS™ STRATEGIC 
            PRICING MODULE

        

           

        

           

           
          With Accuro, a MedAssets Companys’ CDM FOCUS™ 
            Strategic Pricing Module you can establish and maintain your CDM 
            prices based on actual costs and without spending hundreds of 
            thousands on a cost accounting system. If you already have a cost 
            accounting system that’s okay, with our Strategic Pricing Module you 
            can upload the unit costs for each line item and proceed to 
            establish cost based prices. Alternatively, you can base your prices 
            on the competitive environment or payment optimization algorithms. 
            If you want to utilize a hybrid approach (e.g. part cost based and 
            part based on optimization) to restructuring your CDM you can do 
            that too! 
            
With our Strategic Pricing Module you can also calculate 
            alternative pricing scenarios and model the net revenue financial 
            impact prior to implementation. You can do all of this with the 
            assurance that the prices established will be in compliance. 
        

        

           

        

          
            
FEATURES:

           
          Here are just a few features of our Strategic Pricing 
            Module:

            
    
              
  • Web-based platform (no expensive hardware required) 
              
  • Multi-user capability 
              
  • System can be used to decrease prices while maintaining net 
              revenue neutrality 
              
  • System can be used to establish cost based, market price based 
              or optimization/contract based prices 
              
  • You can establish your own customized peer groups for 
              comparative pricing at the HCPCS level from a claims database of 
              5,000 hospitals 
              
  • Different pricing methods can be used for each department 
              
  • Line item exceptions can be made easily within departments 
              
  • Net Revenue Modeling of alternative pricing schemes is made 
              easy 
              
  • Price thresholds can be set to respect multiple of fee 
              schedule or APC rates 
              
  • Related procedures (e.g. Chest X-Ray One view, Two View, Three 
              View) can easily be tagged up front to ensure that final prices 
              make sense 
              
  • Financial impact reports can be run at line item, department 
              or payor level 
              
  • System automatically creates an upload file of your new CDM 
              thereby eliminating the need for data entry of new prices 
          

        

           

        

          
            
 

           
          


    
    
      

        

          
            

            

COME VISIT US


HIMSS Annual Conference & Exhibition

February  25 – March 1 | New Orleans, LA | Booth 2663 


Comparative Pricing UPDATED WITH 2006 DATA 11/14/2007
The CDM Focus Comparative Pricing module has recently been updated with 2006 UB Data, Volume, HCPCS Codes, and Standard Deviation Schedules. As of 11/14/07 all reports are running against the OPPS dataset from July 1, 2006 – December 31, 2006.


Innovative Health Solutions Enters Into Strategic Alliance With 3M Health Information Systems 2/7/2006
(Read More)

CDM FOCUS™ UPDATED FOR JAN 1, 2006 CODE CHANGES: 12/7/2005
CDM FOCUS Compliance Module has been updated with the CMS Outpatient Prospective Payment Systems (OPPS) CY 2006 changes as well as the CPT/HCPCS changes that are effective as of January 1, 2006. New reports have been added for CDM Focus subscribers to reflect these changes, and existing reports have been updated with the new information.



In the final rule, CMS has added almost 600 new CPT/HCPCS codes, and deleted approximately 400 codes. An additional 700 codes have been changed either APC assignment or Status Indicator. Where appropriate, replacement codes or alternate codes have been assigned, as have revenue codes and standard departments. New links have also been added to the C Code Device Dependent report effective January 1, 2006. 


ACCURO HEALTHCARE SOLUTIONS ACQUIRES INNOVATIVE HEALTH SOLUTIONS - “Best in Class” Coding and Reimbursement Management Services Added to Accuro’s Existing Product Offerings 10/18/2005
(Read More)

CDM FOCUS UPDATED FOR JULY 1, 2005 CODE CHANGES:6/21/2005
Effective July 1, 2005, CMS has posted a revised Addendum A and Addendum B on the hospital outpatient prospective payment system website to reflect quarterly changes in the OPPS.  These changes have been incorporated into CDM Focus including:


    

  • Payment for drugs based on the Average Sales Price (ASP) has been updated, and correction has been made for payment of Adalimumab.
    • 

  • Codes for newly approved drugs have been added.
    • 

  • A national Coverage Determination (NCD) on January 28, 2005 approved coverage of off-label used of specific anti-cancer drugs furnished during clinical trials.  The drugs include oxaliplatin (Eloxatin), irinotecan (Camptosar), cetuximab (Erbitux), or bevacizumaab (Avastin), and are represented with codes J9035, J9055, J9206, J9263, J8520, J8521, J9201 and J9190.
    • 

  • A new modifier, QR must be added to identify "non-routine" costs of these 9 clinical trials, including the administration costs of the items/services/drugs provided in the clinical trials that are not generally covered.
    • 

  • The device dependent CPT/HCPCS procedure codes have been updated with the tables for the October, 2005 edits.


 


PRESS RELEASE:4/10/2005
Innovative Health Solutions and MediRegs Develop New Knowledge Based Regulatory and Reimbursement Product

Innovative Health Solutions CDM FOCUS Pricing Systems First to Recieve Distinguished "Peer Reviewed" Designation by HFMA

CDM FOCUS UPDATED FOR APRIL 1, 2005 CODE CHANGES4/9/2005
Effective April 1, 2005, CMS has posted a revised Addendum A and Addendum B on the hospital outpatient prospective payment system website to reflect quarterly changes in the OPPS.    These changes have been incorporated into CDM Focus including:



    

  • The codes associated with the new Status Indicator M, Services not billable to the fiscal intermediary and not payable under the OPPS, have been identified.  A new report has been added to CDM FOCUS to identify services with this new non-reportable payment status.


  • Payment for drugs based on the Average Sales Price (ASP) has been updated, and corrections have been made to some misclassified drugs.



Existing codes for PET scans are being deleted effective April 1, 2005.  The Level I replacement codes were effective January 30, 2005.