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].