Dear Colleagues,

Earlier this month, CMS filed the IPPS Final Rule for 2021. 

The Final Rule requires hospitals to report on the Medicare cost report, the median payer-specific charge that the hospital has negotiated with all of its Medicare Advantage organization (“MAO”) payers, by MS-DRG.

The payer-specific negotiated charges used by hospitals to calculate these medians would be the payer-specific negotiated charges for service packages that hospitals are already required to make public under the requirements finalized in the Hospital Price Transparency Final Rule and effective 1/1/21.  Therefore, CMS argues that “the additional calculation and reporting of the median payer-specific negotiated charge will be less burdensome for hospitals.” 

Time is running out to meet the new requirements.  If you're interested in working with a vendor who you can outsource all of these requirements to, schedule a call with me by clicking here [SCHEDULE CALL]. 

We have clients who need help just with the machine-readable component.  In other words, we can help you with all the price transparency requirements or just some of them, such as the machine-readable file.

If you missed our webinar to HFMA that describes our services, a full recording can be watched [HERE].


Rick Louie
Managing Director
Hospital Pricing Specialists LLC

LinkedIn Profile:

Click Here to [Schedule a free 15-minute meeting with me.]

Want to change how you receive these emails?
You can update your preferences or unsubscribe from this list