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CMS launches New Hospital Price Transparency Website

​Last week, the Centers for Medicare and Medicaid Services (CMS) announced a new website to assist hospitals with meeting the requirements of the FY2020 Price Transparency Rule. The website is available at https://www.cms.gov/hospital-price-transparency and contains information for hospitals and consumers.

 

The website launch comes in the midst of oral arguments in an appeal from the American Hospital Association (AHA) and hospital groups to overturn the rule requiring hospitals to disclose confidential negotiated charges with insurers. Arguments were heard last week by a federal appeals court in Washington, D.C. The AHA faced questions regarding the reasonableness of the Department of Health and Human Services’ (HHS) statutory interpretation of the Affordable Care Act which HHS cited as the authority for the final rule. The government offered little legal support regarding its statutory authority, instead citing benefits for patients in its arguments. The AHA is pushing for a swift turn around in the court’s decision in order to provide clarity to hospitals regarding the regulation.

The current regulation is effective on January 1, 2021. By that date, all hospitals, including rural and Critical Access Hospitals (CAHs),  must provide pricing information online about the items and services they provide.  This information must include a machine-readable file with all items and services as well as a display of shoppable services in a consumer-friendly format that displays discounted cash prices, payer specific negotiated charges, and de-identified minimum and maximum negotiated charges. CMS has made an FAQ and other resource documents available to hospitals on the website.

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Events This Month

june

14jun10:00 am12:00 pmSDAHO District III Summer MeetingCanton, SD10:00 am - 12:00 pm Event Type :District Meeting

15jun12:00 pm2:00 pmEMTALA 2 Part Series2-Part Series12:00 pm - 2:00 pm Event Type :Education Events,Webinar

15jun3:00 pm4:00 pmCovid's Impact on Trust in Health CareWebinar3:00 pm - 4:00 pm Event Type :Webinar

16jun10:00 am12:00 pmSDAHO District II Summer MeetingWebster, SD10:00 am - 12:00 pm Event Type :District Meeting

16jun1:00 pm2:00 pmMedical Marijuana and SD Department of HealthWebinar1:00 pm - 2:00 pm Event Type :Education Events,Webinar

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June 15 at Noon - 2pm CST

This program will cover the following (Part 1 of 2):

  • OIG changes that every hospital should be aware of
  • Two-day visit with immediate jeopardy
  • Common deficiency report by CMS
  • Basic concept of EMTALA
  • Revised manual
  • New survey memos
  • How to locate copy of the EMTALA regulations
  • OCR memo and EMTALA investigations
  • OIG advisory opinions on EMTALA
  • Compliance program
  • CMS Survey memos regarding EMTALA
  • Impact of COVID-19 on EMTALA
  • EMTALA definitions and requirements
  • The Joint Commission standards
  • EMTALA sign requirements
  • To whom EMTALA applies
  • Reasonable registration process
  • Financial questions from patients
  • Patients who sign out AMA
  • Specialized capability
  • Policies and procedures required
  • Hospital recommendations

 

July 20 at Noon to 2pm CST

This program will cover the following (Part 2 of 2):

  • On-call physician issues
  • Dedicated emergency department
  • Central log
  • Special responsibilities
  • Meaning of “comes to the ED”
  • Definition of hospital property
  • EMTALA and outpatients
  • Capacity
  • Dedicated emergency department
  • Inpatients and observation patients
  • Medical screening exam
  • Certification of false labor
  • Born alive law and EMTALA
  • Minor child request for treatment
  • Telemetry
  • When diversion is allowed
  • Parking of patients
  • Helipad
  • State plans and EMTALA
  • Who can be a QMP
  • Waiver of sanctions
  • Requests for medications
  • Blood alcohol tests
  • Emergency medical condition
  • Stabilization
  • OB patients
  • Born-Alive Infant Protection Act and MLN clarification
  • Transfer and transfer forms
  • Behavioral health patients
  • QIO role with EMTALA