ICD10monitor October 11, 2023
David M. Glaser, Esq.

If you work for a hospital, please read this article closely. If you’re at any other type of healthcare entity, the price transparency rules don’t apply to you, and you can skip this article.

I’ve been working with hospitals that are trying to comply with a state law requiring them to charge uninsured patients the lowest rate the hospital receives from any contracted insurer. I’m hearing a steady stream of complaints from hospitals that they don’t have access to this data.

I can’t comment on the logistics, but I know this: the federal Price Transparency regulations include provisions that seem to require hospitals to PUBLISH that data. These regulations were published in 2019, appearing in 45 CFR, Part 180....

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