Are You Conscious of the Newest CMS Enforcement Actions?

CMS has began implementing the worth transparency rule, by taking motion in opposition to two hospitals.

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This summer time, the Facilities for Medicare and Medicaid Companies (CMS) fined two hospitals for failing to uphold the worth transparency necessities. The hospitals didn’t replace their web sites and/or reply to CMS’ letters concerning the violations.

Northside Hospital Atlanta was fined $883,180 and Northside Hospital Cherokee was fined $214,320 for the violations.

Pursuant to the worth transparency rule, hospitals should make customary costs public.

The rule additionally states that hospitals in america are required to offer clear, accessible pricing data on-line about gadgets and providers in two methods:

  1. As a complete machine-readable file with all gadgets and providers.
  2. In a show of shoppable providers in a consumer-friendly format.

Failure to conform might end result within the issuance of civil financial penalties by the CMS, because it did for the 2 hospitals above.

As most healthcare entities are conscious, the federal government has been working to make sure sufferers have extra entry to data concerning their billing and healthcare data.

With shock billing legal guidelines, HIPAA’s proper of entry initiative, and pricing transparency, it’s important that your healthcare entity is compliant with all relevant legal guidelines. Failure to conform may end up in detrimental fines.

When you’ve got questions on what state and federal legal guidelines apply to your entity, and what it’s good to do to make sure compliance, contact us at the moment.

We can assist you tailor your insurance policies and procedures to be compliant and practice your workplace employees to know the way to reply to inquiries from the federal government.

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