ICD10monitor November 30, 2022
CMS is enforcing its rule with penalties.
The Centers for Medicare & Medicaid Services (CMS) is focusing new funding and efforts on hospital price transparency compliance enforcement. At the same time, state-level agencies like the Texas Health and Human Services Commission (HHSC) have begun issuing material violation notices and penalties for non-compliance.
In September 2022, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) added CMS Hospital Price Transparency oversight to their Work Plan. The Work Plan includes a review of the audit controls in place at CMS to ensure that mandated hospital price transparency information has been made publicly available, as required by law.
“To evaluate CMS’s monitoring and enforcement of the hospital price transparency...