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3 New Hospitals on CMS' Price Transparency Chopping Block

Analysis  |  By Amanda Norris  
   August 18, 2023

CMS fined three hospitals for alleged price transparency violations.

Most hospitals and health systems have not had an easy ride when it comes to price transparency adherence—from overly burdened staff to costly operational changes—revenue cycle leaders have felt the pressure to adapt and thrive.

Doubling down on the pressure is CMS. The agency is continuing to fine hospitals for not adhering to price transparency requirements, and there are three new providers on the chopping block.

CMS announced it has fined Community First Medical Center $847,740, Falls Community Hospital and Clinic $70,560, and Fulton County Hospital $63,900, all in July. The hospitals have 30 days from the issuance date to appeal the fines, CMS says.

This brings the total number of hospitals fined for price transparency violations to seven. HealthLeaders reported in May that Kell West Medical Center was fined for noncompliance and the hospital is now appealing that punishment. CMS says it is reviewing Kell West’s appeal as it is “under review.” 

While most organizations should have systems in place to help them adhere to the new rules, opportunities still exist to revisit outdated revenue cycle processes to better comply with these regulations.

Amanda Norris is the Director of Content for HealthLeaders.


KEY TAKEAWAYS

CMS is continuing to fine hospitals for not adhering to price transparency requirements, and there are three new providers on the chopping block.

While most organizations should have systems in place to help them adhere to the new rules, opportunities still exist to revisit outdated revenue cycle processes to better comply with these regulations.


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