Hospital price transparency has been at the forefront of much debate and regulation since the advent of the ACA. Learn the key requirements for price transparency that are in place as of 2025. Core to price transparency is the chargemaster and the various charges required to be made publicly available. Understand how strategic defensible pricing is critical as well as best practices around maintaining the hospital chargemaster in this transparent environment.
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Joy Krush, RHIT, CCS, CCS-P, CDIP, is a senior healthcare manager with Eide Bailly LLP, in Bismarck, North Dakota. She has more than 30 years of experience in the healthcare industry with an emphasis in coding, HIM, compliance, charge capture, and documentation improvement. She is trained in ICD-10, Current Procedural Terminology (CPT®), and clinical documentation integrity with understanding of MS-DRGs and APC payment methodologies. Krush provides reviews of facilities’ chargemasters to evaluate overall accuracy of coding, revenue codes, and line-item descriptions and assists with implementation of chargemaster recommendations. She performs coding and documentation reviews for facility reimbursement and quality and has experience managing appeals to Recovery Auditors and other payers for DRG and APC denials. She assists clients with day-to-day revenue cycle questions, including questions and processes related to behavioral health services. She has served as president of the North Dakota Health Information Management Association (NDHIMA) and in several other positions with NDHIMA. She is a member of AHIMA and has served on the AHIMA’s Revenue Cycle Practice Council and Legislative committee.