AAPC - Advancing the Business of Healthcare

Hospital Pricing Transparency: Are You Compliant With the New Requirements?


The CMS Final Rule, effective January 1, 2021, establishes pricing transparency requirements for hospitals and hospital-employed physicians. The second phase, effective in January 2022, affects health plans and health insurance issuers. These requirements aim to improve spending and increase market competition, while developing the groundwork for a patient-driven healthcare system — and reduce healthcare costs. This eBrief reviews the new requirements and shares how your organization can achieve compliance.

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