Fierce Healthcare May 10, 2021
Dave Muoio

The Centers for Medicare & Medicaid Services has sent its first wave of warning letters out to hospitals breaking federal rules requiring them to disclose payer-negotiated prices, a spokesperson for the agency confirmed.

CMS has been auditing hospitals’ websites and complaint submissions since the rule went into effect on January 1 and began sending out warnings in April, the spokesperson said.

Hospitals that received the warning are given a 90-day window to address shortcomings outlined in the letter. From there, the agency may close its inquiry, deliver a second warning letter or request a corrective action plan from the hospital.

The final rule specifies that facilities receiving a civil monetary penalty will also be publicly named on CMS’ website. The...

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Topics: CMS, Govt Agencies, Health System / Hospital, Healthcare System, Insurance, Pricing / Spending, Provider
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