Ebook

CMS Transparency in Coverage Rule

CMS Transparency in Coverage Rule

Pages 10 Pages

How we’re addressing the impact of machine-readable files on healthcare payers CMS Transparency in Coverage Rule2 | Source: CMS T ransparency in Coverage Impact The Transparency in Coverage (CMS-9915-F) aims to make healthcare price information accessible to consumers prior to consumers obtaining services and being billed. Costs for healthcare services are often a mystery until after treatment or services have been implemented and a bill is issued, and this rule set by U.S. departments of Labor, T reasury and Health and Human Services in October 2020, aims to make rates more readily available for cost comparison by healthcare consumers. Introduction3 | Source: CMS T ransparency in Coverage Impact July 1, 2022 In-network rate Machine Readable Files (MRF) Allowed amount rate MRF Lesson

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