How Hospitals Can Avoid a Price Transparency Audit: Part III
ICD10monitor March 27, 2024
EDITOR’S NOTE:
Jory Hatton, CEO for ClaraPrice, concludes his exclusive, three-part series for RACmonitor on the CMS Hospital Price Transparency rule.
Avoiding a CMS (Centers for Medicare & Medicaid Services) hospital price transparency audit involves ensuring compliance with CMS regulations regarding the federal transparency requirements. Here are some steps you can take to minimize the risk of being audited or penalized:
Understand the CMS Requirements
Familiarize yourself with the CMS requirements for hospital price transparency. These requirements, which have been expanded in 2024, include creating and posting a consumer-friendly list of shoppable services, preferably avoiding Excel or CSV, and publishing a comprehensive machine-readable file in a CMS-defined data template. Hospitals must use the CMS template in JSON or CSV format by...