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Hospital Transparency in 2025: What’s Changed and What’s Coming

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Manage episode 494938186 series 1286042
Content provided by CJ Wolf. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by CJ Wolf or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In this powerful episode of Compliance Conversations, CJ Wolf interviews Dave Cardelle, RPh, Chief Strategy Officer at AMS, who shares practical insights on CMS’s shifting enforcement landscape and the real-world impact of hospital price transparency.

What You’ll Learn:

  • What makes a machine-readable file compliant (and what doesn’t)
  • Why average negotiated rates are the most challenging—and most scrutinized—data element
  • How automation and governance can save your hospital from costly penalties
  • What CMS is planning next for labs, diagnostics, and even physician services

You can also listen to Dave’s previous Compliance Conversations interview on payment integrity considerations from a payer’s perspective.

Thank you for listening! Please share, like, and subscribe.

If you'd like to see more compliance and auditing content feel free to follow us on social media.

Check out our resource center and weekly compliance newsletter for additional compliance and auditing content from our experts.

  continue reading

120 episodes

Artwork
iconShare
 
Manage episode 494938186 series 1286042
Content provided by CJ Wolf. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by CJ Wolf or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

In this powerful episode of Compliance Conversations, CJ Wolf interviews Dave Cardelle, RPh, Chief Strategy Officer at AMS, who shares practical insights on CMS’s shifting enforcement landscape and the real-world impact of hospital price transparency.

What You’ll Learn:

  • What makes a machine-readable file compliant (and what doesn’t)
  • Why average negotiated rates are the most challenging—and most scrutinized—data element
  • How automation and governance can save your hospital from costly penalties
  • What CMS is planning next for labs, diagnostics, and even physician services

You can also listen to Dave’s previous Compliance Conversations interview on payment integrity considerations from a payer’s perspective.

Thank you for listening! Please share, like, and subscribe.

If you'd like to see more compliance and auditing content feel free to follow us on social media.

Check out our resource center and weekly compliance newsletter for additional compliance and auditing content from our experts.

  continue reading

120 episodes

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