tci Medicare Compliance & Reimbursement - 2020 Issue Q1
Review 5 Steps to Prepare for Hospital-Based Price Transparency Requirements
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Article Overview
This article explains how hospitals can prepare for federal price transparency requirements and outlines the major operational areas affected by the rule. It is aimed at hospital leaders, compliance teams, revenue cycle staff, finance, billing and coding personnel, legal counsel, and clinical stakeholders who need a broad understanding of implementation planning, contract review, and service-list development. The piece focuses on the general categories of work hospitals should organize in advance of the effective date and why cross-department coordination matters.
Why This Topic Matters
Hospitals subject to the rule must coordinate multiple departments and review internal processes, contracts, and public-facing service information to meet the new transparency expectations. The article helps readers gauge the scope of preparation needed and identify where compliance planning is likely to touch revenue cycle, finance, billing and coding, legal, and clinical operations.
What You Will Learn
- Why hospital price transparency requirements require early preparation
- How hospitals may organize internal teams and outside resources for implementation
- What broad areas of the final rule hospitals need to review
- Why payer contract analysis is part of preparation
- How hospitals may approach building a public list of shoppable services
Who Should Read This
- Hospital administrators
- Compliance professionals
- Revenue cycle leaders
- Finance teams
- Billing and coding staff
- Legal counsel
- Clinical leaders
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