With less than two weeks until CMS s price transparency rule is set to go in effect,
CMS said last week that it plans to audit a sample of hospitals for compliance starting in January.
That s in addition to investigating any complaints that CMS receives about noncompliance.
The new mandate goes into effect on January 1 after being delayed for a year and
upheld in court this summer. There s an up to $300 per day penalty for noncompliance.
It has two components:
1. A consumer-friendly disclosure of the hospital s standard charges for 300 shoppable services (i.e., ones that can be scheduled in advance). An online patient-facing price transparency tool would also satisfy this requirement.
Report on Medicare Compliance 29, no. 43 (December 7, 2020) - In a new provider compliance audit, the HHS Office of Inspector General (OIG) said The Palace at Home, a.