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The effective date for this requirement is january 1, 2025 Cms has finalized the most significant changes to the hospital price transparency rule since its initial effective date in january 2021. Compliance statement cms added an affirmative requirement that hospitals make a “good faith effort” to ensure standard charge information is true, accurate, and complete, and to include a statement affirming this in the mrf.
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In the cy2024 opps/asc final rule, cms finalized a requirement for hospitals to adopt a cms template and encode standard charge information for a subset of data elements by july 1, 2024, and all required data elements by january 1, 2025, as noted in the following tables: Hospitals will be required to display additional data elements in their list of standard charges, including the method used to establish the standard charge, and to encode the standard charge information in a cms template layout. Whilst these changes go into effect on january 1, 2024, enforcement dates will vary by requirement to allow hospitals adequate time to implement changes
Click below to view the implementation timeline finalized in the cy 2024 opps final rule.
Whilst the effective date of the changes made to 45 cfr part 180 is jan 1, 2024, enforcement dates will vary by requirement. There’s concern that the new requirements will simply apply as of may 22, the date the guidance was issued “hospitals and their partners have already made major strides to expand pricing data across all payers,” stack said.
“estimated allowed amount” means the average reimbursement in dollars that has been received from the payer in the past for an item or service.
