Are You Conscious of the Newest CMS Enforcement Actions?

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

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This summer season, the Facilities for Medicare and Medicaid Providers (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 in regards to 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 expenses public.

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

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

Failure to conform could outcome 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 info concerning their billing and healthcare information.

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 can lead to detrimental fines.

In case you have questions on what state and federal legal guidelines apply to your entity, and what that you must do to make sure compliance, contact us right now.

We will help you tailor your insurance policies and procedures to be compliant and prepare your workplace employees to understand how to answer inquiries from the federal government.

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