Is Your Hospital Making One Of These Hospital Pricing Transparency Mistakes?
Here's 5 of the most common Machine-Readable File Mistakes.
Mistake #1
Not Posting Anything
Did your hospital take a "wait and see" approach to price transparency? Holding out for the results of litigation or potential changes to the requirements is no longer a viable option. Hospital Price Transparency is here and CMS is ramping up enforcement efforts, having issued a $1M civil monetary penalty to Northside Hospital in Atlanta for non-compliance.
Mistake #2
Posting Based On Outdated Guidelines
Does your hospital have files posted that comply with outdated guidelines from 2019? Prior to January 1, 2021, hospitals were required to post a CDM and Inpatient DRG file. These files however, do not meet the current requirements for price transaparency.
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Hospital Pricing Specialists are ready to work with your hospital to ensure you're covered for Price Transparency.
Mistake #3
Not Updating Annually
Did your hospital take a "one and done" approach, posting a machine-readable file on January 1, 2021, but not updating it since? It is important to remember that CMS requires the machine-readable file be updated annually.
Mistake #4
Not Consolidating Data Into a Single File
Did your hospital break-up your data into multiple files (ex. separate files by payer or separate files for inpatient vs outpatient rates)? Remember, the requirement from CMS is for a "single" machine-readable file. Data can be broken-up into separate fields and tabs, but ultimately must be in one single file.
Mistake #5
Not Following File Format Requirements
Did your hospital post a file in XLS or PDF format? Did your hospital call your file "Charges File" or "CDM File"? Remember, CMS requires files to be in a non-proprietary machine-readable format (ex. JSON, XML, or CSV). XLS and PDF are not compliant formats. Also CMS has a standard naming convention for the machine-readable file __standardcharges.[json|xml|csv] (ex. 11111111_TestHospital_standardcharges.csv).
Interested in a complimentary confidential Price Transparency website assessment?
Get a detailed site review and immediate recommendations.
Get a detailed site review and immediate recommendations.
Hospital Pricing Specialists are ready to work with your hospital to ensure you're covered for Price Transparency.
Just a few of our clients
"Hospital Pricing Specialists is committed to delivering an effective pathway for hospitals to establish and maintain price transparency compliance."
Etosha McGee, Hospital Pricing Specialists Vice President of Consulting Services