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