May 2025) – In late February, CorroHealth, a trusted partner of KHSC, deployed an advanced bot to review all member price transparency files meticulously. This initiative was guided by the Centers for Medicare & Medicaid Services' guidelines and utilized the CMS validator tool to ensure compliance. The findings from this review have highlighted several issues that could potentially attract CMS's attention for a compliance review.
The bot conducted a thorough examination focusing on four key areas:
- Placement of the machine-readable file: Ensuring the file is correctly positioned for easy access.
- Compliance with CMS mandated MRF file format: Verifying that the file format adheres to CMS specifications.
- 2024/2025 MRF compliance via CMS validator: Checking future compliance requirements using the CMS validator tool.
- General MRF Accessibility: Assessing the accessibility of the MRF through CMS bots and site crawlers.
The urgency of this matter is underscored by the Feb. 25 Executive Order on health care pricing information, which has brought compliance with these rules back into focus. Executive Order 13877 mandates the disclosure of actual prices for items and services, rather than estimates, within the next 90 days. Additionally, it requires organizations to stay vigilant about forthcoming regulatory changes, including updates to guidance, proposed regulatory actions and enforcement policies.
To address these compliance issues promptly, CorroHealth will proactively reach out to those members whose files were flagged by the bot review. They will provide detailed insights into the findings and guide your organization through the necessary steps to achieve compliance. For further assistance, you can also schedule a meeting with our CorroHealth representative, Violet Archuleta-Chiu.