Insight CMS Price Transparency with MRF Viewer
Stay compliant with CMS and empower patients with on-demand estimates.
CMS Price Transparency Solution
Generate Cost Estimates & Satisfy CMS Rules
Empower your patients with price transparency. Ensure CMS compliance with confidence.
The Game Has Changed
The CMS Hospital Price Transparency executive order, effective January 2021, requires hospitals to disclose a cost estimate for at least 300 procedures to consumers. The regulation also requires hospitals to post a comprehensive machine-readable file that includes the following standard charges for all hospital items and services: gross charges, discounted cash prices, payer-specific negotiated allowables, and de-identified minimum and maximum negotiated allowables.
New Rules Require New Solutions
CMS updated requirements for 7/1/24 and 1/1/25. Staying ahead of the curve, Hyve Health predicted the final rule for both enforcement dates to ensure we get what we need to create a complete and compliant MRF for healthcare providers.
Finally Understand Your MRF
Included in your product implementation is access to Hyve Health’s MRF Viewer. This proprietary software allows healthcare organizations, using a secure login, to view their MRF in a readable format, to review and analyze all the values in the file to ensure what was provided during implementation is reflected accurately in the MRF.
Your historical 837/835 files, contract rates and CDM are used to create your required MRF, adhering to the CMS mandate.
Patient Facing Estimation
Using the same data set for your MRF, Hyve Health creates a patient facing estimator tool for your website, allowing on demand patient generated estimates for 300 highly shoppable services specific to your hospital. You stay compliant with CMS and help your patients understand the cost of their healthcare.
The CMS Price Transparency Solution You've Been Waiting For
With Insight™, providers can:
Satisfy Rule CMS–1786–FC.
Satisfy Rule 180.50 – Requirements for making public hospital standard charges for all items and services.
Satisfy Rule 180.60 – Requirements for displaying shoppable services in a consumer-friendly manner.
Review MRF for accuracy prior to posting online.
With Insight™, patients can:
Access via a cloud-based solution through a PC, tablet, or mobile device.
Access their healthcare benefit information.
Generate their own estimates.
Understand their healthcare costs.
Revenue Cycle Leader
Louisiana Hospital
Revenue Cycle Leader
Nevada Hospital