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CMS Clarifies Healthcare Price Transparency Rules for Hospitals | RevCycle Intelligence

October 01, 2018 – CMS recently expanded on new healthcare price transparency requirements for hospitals in a series of frequently asked questions (FAQs) published on its website.

The FAQs cover which hospitals are subject to the new requirements, the definition of machine-readable, and what items and services furnished at the hospital must be included on the publicized list.

In August 2018, CMS finalized the 2019 inpatient and long-term care hospital prospective payment system (IPPS/LTCH PPS) rule, which contained new requirements mandating hospitals publicize a list of their standard changes online in a machine-readable format by the new year.

Hospitals would also have to update the list of prices at least annually, the rule stated.

CMS intends for the new healthcare price transparency requirements for hospitals to empower patients.

“The policies in the IPPS/LTCH PPS final rule further advance the agency’s priority of creating a patient-centered healthcare system by achieving greater price transparency, interoperability, and significant burden reduction so that hospitals can operate with better flexibility and patients have what they need to be active healthcare consumers,” CMS wrote in a fact sheet on the final rule.

Recently published FAQs from CMS expand on and clarify the new healthcare price transparency requirements for hospitals.

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CMS Clarifies Healthcare Price Transparency Rules for Hospitals.