Price Transparency

CMS makes templates available to help with aspects of the new surprise billing regulations

CMS has published templates and resources that can guide healthcare providers in implementing some of the surprise-billing requirements that take effect in January.

Nick Hut December 2, 2021

Annual Conference Day 1: HFMA’s Fifer talks industry challenges, opportunities and the importance of curiosity

The challenges facing the industry are momentous, but healthcare finance professionals should be optimistic about their ability to help find solutions, HFMA President and CEO Joe Fifer said during the kickoff session of the 2021 Annual Conference.

Nick Hut November 9, 2021

CMS finalizes changes to the price transparency penalty, inpatient-only list and more for 2022

Medicare policies affecting price transparency, the inpatient-only list and more will take effect Jan. 1 after CMS published its 2022 final rule for hospital outpatient departments and ambulatory surgical centers.

Nick Hut November 7, 2021

Additional requirements are needed to make healthcare price transparency worthwhile, report states

Updates to price transparency regulations should address compliance and formatting and incorporate new data elements.

Nick Hut November 4, 2021

Providers must furnish ‘good-faith’ price estimates to self-pay patients starting next year

A newly issued federal rule on surprise billing includes regulations designed to improve price transparency for self-pay patients.

Nick Hut October 11, 2021

Healthcare price transparency initiatives may fall flat due to systemic factors, expert says

Niall Brennan, a leading expert on healthcare cost drivers, is among the skeptics who doubt the ongoing price transparency push can result in a more efficient system.

Nick Hut September 23, 2021

News Briefs: CMS plans to reinstate policies pertaining to the inpatient-only and ASC covered-procedures lists

A roundup of the top news affecting healthcare finance professionals.

Nick Hut August 27, 2021

61% of hospitals say future compliance with price transparency will impact financial processes: HFMA poll

An HFMA-Strata survey found 61% of hospitals and health systems are revamping financial processes in light of price transparency.

Lisa Eramo, MA August 27, 2021

CMS is preparing to make noncompliance with price transparency requirements much more expensive

A hospital with at least 550 beds would owe more than $2 million in penalties for a year of noncompliance with new price transparency requirements, according to a proposed rule.

Nick Hut July 20, 2021

Healthcare News of Note: Few consumers are using publicly posted negotiated prices to comparison shop for healthcare services

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Little use of price transparency information to comparison shop for healthcare services, the nursing shortage being felt throughout the U.S., and cash payers being charged more for the same services than patients with insurance.

Deborah Filipek July 9, 2021
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