Indiana Price Transparency Laws went into effect on January 1st, 2022
You’re likely familiar by now with the Price Transparency laws that went into effect in Indiana on January 1st, 2022. It’s critical that ASC providers in Indiana know exactly what to expect.
There were three different pieces of legislation that have been signed in the last year which has rightfully caused some confusion. Clariti, now an HST Pathways company, has been working closely with the author of the House Bills (Representative Donna Schaibley), ASCA, and IFASC since the bill’s inception to make sure we help you comply.
By partnering with us, you will comply with Indiana’s new legislation, accelerate your A/R, improve patient experience scores, and create significant gains in efficiency. Fill out the form to learn more, get your questions answered, and see our solutions!
What’s Required as of January 1, 2022?
House Bill 1421: All ASCs are required to provide the following on their website.
- As many of the seventy (70) shoppable services specified in the final rule of the Centers for Medicare and Medicaid Services published in 84 FR 65524 that you provide.
- (30) most common services that are provided by your ASC not included in the above 70 shoppable services
- If your ASC offers less than thirty (30), that’s okay, you just have to list them all
For each of the Shoppable Services listed…
- A description of each one
- The standard charge per service broken out by:
- All in-network providers
- Self-pay (with charitable assistance)
- Self-pay (without charitable assistance)
Hospital Price Transparency Rule
- If the Hospital Price Transparency Rule is repealed at the federal level, Hospitals in Indiana will be still be required to post pricing information and meet the mandates as if it passed.
House Bill 1004: All ASCs are required to proactively deliver a Good Faith Estimate (GFE) to all scheduled patients.
- The GFE must be delivered at least 5 days in advance of the patient’s DOS for all nonemergency services.
- The patient can request a GFE for any nonemergency services at any time and it must be provided to them.
- If an out-of-network practitioner provides services to a covered individual in an in-network facility may not charge more for the services provided to a covered individual than allowed according to the rate established by the covered individual’s network plan (exceptions do apply).
Our Solutions = Guaranteed Compliance… and so much more!
Clariti Health, an HST Pathways company, is the leader in the price transparency movement. By partnering with us, you will comply with Indiana’s new legislation, accelerate your A/R, improve patient experience scores, and create significant gains in efficiency. Even if you just have a few questions – we’re here to help.