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Hospital Transparency in 2025: What’s Changed and What’s Coming
Manage episode 494938186 series 1286042
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.
120 episodes
Manage episode 494938186 series 1286042
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.
120 episodes
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