On-line hospital charge comparisons
 
 
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1.  Privacy

Protecting your privacy and identity are important to us.  Your e-mail address will only be used within Compare Charges and its entities.  We do not sell or rent e-mail addresses or other personal information to anyone outside Compare Charges.

Our site uses a Contact us form and an order form for customers to request information, products, and services.

We collect visitor's contact information (like e-mail address) and method of payment.  Contact information from the order form is used to process orders and set-up Subscriber access.  User payment information is used to bill for products and services.

If you wish to be removed from our e-mail mailings, please contact us through our 'Contact us' page.


2.  H.I.P.A.A.

To assure patient confidentiality and to meet patient H.I.P.A.A. privacy and protection regulations and agreements, codes with 10 or fewer procedures performed by a provider are not included in any data presented by this site.


3.  Medicare codes


DRG (Diagnosis Related Groups) (inpatient):

DRG code lists include your reimbursement rate calculated using to your DRG settings and Medicare’s DRG formula.

The DRG formula is available as a pop-up from the Administration / DRGs page.


OPPS (Outpatient Prospective Payment System) (outpatient):

OPPS code lists include APC, CPT®, and HCPCS codes.

OPPS code lists include your reimbursement rate calculated with the Wage Adjusted APC formula.


4.  Factoring

Factors adjust the specific item or group of items by multiplying by the factor amount.

A factor of 1.00 does not adjust the item or group.  It is the default.

For example, a factor of 1.10 increases each item or group by 10%.

Similarly, a factor of .90 decreases each item or group by 10%.

‘Factor all’ multiplies each ‘Compare-to’ hospital by the factor you provide.

Factors that impact the same items or groups are included in the calculation.


5.  Calculations


Max, min, average, and weighted averages

The maximum (max), minimum (min), average (avg), and weighted averages (wtAvg) summarize the respective data among the Compare-to hospitals.

The max, min, average, and weighted averages are significantly effective and efficient tools to help analyze and process the Details report data.


Weighted average

The weighted average (wtAvg) uses each hospital’s charge volume by code to perform the calculation.


Variances

The weighted average (wtAvg) uses each hospital’s charge volume by code to perform the calculation.


Volume

The first two ‘Volume’ columns in your Home hospital area and in the Medicare area estimate your Home hospital annual Medicare volume for the code.

The third volume column, ‘Total volume’, is the sum of all of the Compare-to hospitals annual Medicare volume for the code.


Charge

The ‘Charge’ is the average of all charges during the year to Medicare for the code.

In some circumstances, ‘outlier’ charge amounts may have been removed to help maintain the average’s usefulness.


Annual

Annual = average Charge x annual Volume


6.  Data downloads

All of the data from the Details report is available for purchase.  See your subscriber's menu for ordering.

Downloaded data is useful in many ways.  A few examples…

Further manipulate the data and upload it to your charge master.

Base your charge master pricing on your competitors or on other selected hospitals.

Base your charge master pricing on any of the high, low, average, or weighted average charges in your market.


7.  Other data availability

Beyond the data presented with your subscription, Compare Charges has a significant database of the nation’s hospital charges.

We can use that database to produce custom data downloads, groupings, calculations, and reports for you.

Please contact us through the 'Contact us' page, e-mail or phone.


8.  Support

Free site support is included and provided with each subscription.

Please contact us through Contact us, e-mail or phone.

While most support is included for free, some support may require additional charges.  For example, resetting ‘Home’ hospitals (more than once), additional data, data downloads, and CDM uploads.


9.  Specifications

Common to all web sites, operating systems, browsers, monitor settings, and other variables all contribute to a user's individual viewing experience.

Compare Charges uses simple layouts and layout standards in our mission to provide everyone with the best, most productive, clear, and appealing visual experience.

Every attempt has also been made to provide accessibilty for lower resolution monitor settings that display larger print and content.



10.  Terms and Conditions


Subscription Grant

Compare Charges grants Subscribers a subscription to use one copy of the Compare Charges “Software” on our website server or computer for the more restrictive of one Subscriber physical location or one Subscriber legal entity location for the subscription term.  Final determination of what consists of a Site will be made by Compare Charges.

“Use” means using, storing, loading, installing, executing, or displaying the Software.  You may not modify the Software or disable or restrict any licensing or control features of the Software.

The Software uses various copyrighted materials by contract with the owners of the copyrighted materials.  One user is assumed with each subscription.  For more than one user, the Subscriber must declare the number of users the Software will have and keep Compare Charges advised of the total number of users.  Compare Charges reserves the right to limit the number of users per subscription on a per case basis.

Compare Charges is not obligated to provide any data or data relationships, whether currently provided or not, which cannot be reasonably obtained due to availability, ownership, copyrights, cost, or otherwise.


Ownership

The Software is owned and copyrighted by Compare Charges.  Your subscription confers no title or ownership in the Software and is not a sale of any rights in the Software.  Compare Charges’ third party suppliers may protect their rights in the event of any violation of these terms.

Notwithstanding any provisions in this Agreement to the contrary, you may not distribute any portion of the Software, any executable delivered with the Software, any updates to the Software, any content of the Software, or any portion of the documentation.

The Subscriber may use the Software-generated printed reports and exports to Access, Excel, or other general-use software for the Subscriber’s own use.  Subscribers must assure copyright protections are strictly maintained at all times.  Any copyright infringement through the Subscriber is the responsibility of the Subscriber, and not the responsibility of Compare Charges.

Title to the Software and all trademarks and trade names under which Compare Charges markets its products shall remain in Compare Charges at all times.  Subscriber does not have, and shall not attempt to obtain, any title to the Software, trademarks, trade names or other Confidential Information of Compare Charges without prior written approval from Compare Charges.

You must reproduce all copyright notices in the original Software on all copies.  You may not copy the Software onto any bulletin board or similar system.


No Disassembly or Decryption

You may not disassemble, decompile, view, copy, or reverse engineer the Software.  In addition, you may not disclose any source code of the Software to any person or entity.  You may not rent, assign, lease, sub-subscribe, or grant any rights in the Software, in full or in part, to any other person or entity.


Termination

Compare Charges may terminate your subscription upon notice for failure to comply with any of these Subscription terms, including late payment.  Upon any termination, you must immediately cease access to the software.


Entire Agreement

This Agreement represents and constitutes the entire agreement between the parties, may only be amended in writing signed by authorized representatives of both parties, and supersede all prior agreements and understandings (oral and written) with respect to the matters covered by this Agreement.  The parties acknowledge that they have not relied upon any representations other than the representations set forth herein.


Warranty Statement

Disclaimer:  To the extent allowed by local law, this Software and its code updates are provided to you “as is” without warranties or conditions of any kind, whether oral or written, express or implied.  Compare Charges specifically disclaims any implied warranties or conditions of merchantability, satisfactory quality, non-infringement and fitness for a particular purpose.  Some countries, states and provinces do not allow exclusion of implied warranties or conditions, so the above exclusion may not apply to you.

Limitation of liability:  Except to the extent prohibited by local law, in no event will Compare Charges or its subsidiaries, affiliates, or suppliers be liable for direct, special, incidental, consequential or other damages (including lost profit, lost data or downtime costs), arising out of the use, inability to use, or the results of use of the Software, whether based in warranty, contract, tort or other legal theory, and whether or not advised of the possibility of such damages.


Use of the Software is entirely at your own risk.  Should the Software prove defective, you assume the entire cost of all service, repair or correction.  Some countries, states and provinces do not allow the exclusion or limitation of liability for incidental or consequential damages, so the above limitation may not apply to you.  In no event shall Compare Charges liability for any damages ever exceed the price paid for a single year of the subscription to use the Software, regardless of the form of the claim.

Note:   Except to the extent allowed by local law, these warranty terms do not exclude, restrict or modify, and are in addition to, the mandatory statutory rights applicable to the subscription of the Software.  You may have other rights that vary from state to state.


General

This Subscription is the entire agreement between you and Compare Charges, superseding any other agreement or discussions, oral or written, and may not be changed except by a signed agreement.  This lease and subscription shall be governed by and construed in accordance with the laws of the State of Idaho.  If any provision of this lease and subscription is declared by a Court of competent jurisdiction to be invalid, illegal, or unenforceable, such a provision shall be severed from the lease or subscription and the other provisions shall remain in full force and effect.  Exclusive jurisdiction and location for all matters relating to this lease and subscription shall be in courts in the State of Idaho, and you consent to such jurisdiction and location.  Any waiver by us of any violation of this subscription by you shall not constitute, nor contribute to, a waiver by us of any other or future violation of the same provision, or any other provision, of this lease or subscription.  The parties acknowledge and agree that no third party shall have any rights, either against us or our suppliers, as a third party beneficiary of any rights, subscriptions, products or services granted or provided by us to you hereunder.

Costs and fees, including but not limited to legal fees, for actions initiated by the Subscriber related to this agreement are the responsibility of the Subscriber regardless of outcome.  For actions initiated by Compare Charges, the Subscriber is responsible for costs and fees if the outcome is in favor of Compare Charges.
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