Issues · CMSgov/price-transparency-guide

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EAPG Rates on Price Transparency Machine Readable File Requirment

#765

· cgmurphy opened

on Nov 26, 2024

Difference between negotiated, derived and fee schedule negotiated type - related question

#755

· gjclaxton opened

on Aug 26, 2024

Cigna's reference files unreachable

#754

· S0V3T opened

on Jul 16, 2024

1

CSTM-ALL descriptions are inconsistent

#715

· careignition-cps opened

on Oct 5, 2023

1

Introducing FROM and THRU range ( When applicable ) for billing_codes in-network-rates

#464

· narenlulla opened

on May 2, 2022

1

Using Custom Billing Code for all codes not listed (all remaining codes = CTSM-RM)

#463

· narenlulla opened

on May 2, 2022

Mixed Bundles

#460

· narenlulla opened

on May 2, 2022

Negotiated Rate based on CMS Inpatient Psychiatric Facility PPS : Per-Diem + DRG + Comorbidities + Age + Length of Stay Adjustment

#409

· clovis517 opened

on Mar 7, 2022

1

Allowed-Amount files per EIN

#352

· SCShuler opened

on Jan 13, 2022

Allowed Amounts File different allowed amounts different services and POS types

#340

· jltang-kp opened

on Jan 7, 2022

Technical Guidance on Capitation for In-Network File

#284

· Stephanie-Raymond opened

on Nov 16, 2021

2

In-Network File Requirements for Local/Regional Plans

#283

· Stephanie-Raymond opened

on Nov 16, 2021

1

Bundle Example for JSON Display for DRG Claim

#282

· Stephanie-Raymond opened

on Nov 16, 2021

5

In-Network Object Fields: Billing Code Elements

#281

· Stephanie-Raymond opened

on Nov 16, 2021

What reimbursement information should be provided in the in-network rate file when capitated payments are made to medical groups?

#151

· ajmhardy opened

on Jul 21, 2021