Are You Conscious of the Newest CMS Enforcement Actions?

Are You Conscious of the Newest CMS Enforcement Actions?

CMS has began imposing the worth transparency rule, by taking motion towards 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 did not replace their web sites and/or reply to CMS’ letters concerning 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 commonplace prices public.

The rule additionally states that hospitals in the USA are required to supply clear, accessible pricing data on-line about gadgets and companies in two methods:

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

Failure to conform could consequence 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 data 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 may end up in detrimental fines.

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

We may also help you tailor your insurance policies and procedures to be compliant and prepare your workplace workers to know the way to reply to inquiries from the federal government.

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