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MARCH 11, 2020

Transparency in Pricing Coming to Health Systems

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Bonnie Kirschenbaum, MS, FASHP, FCSHP

On Nov. 27, CMS released its final rule requiring hospitals to disclose payor-specific negotiated rates effective Jan. 1, 2021. The increased level of transparency that will result from this change could have a profound effect on your reimbursement team, so let’s take a deeper dive into the new rule.

The new rule requires hospitals, in a machine-readable format on their websites, to post their gross charges, negotiated rates, minimum and maximum