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CMS Transparency Rule Aims to Make Pricing Estimates More Exact
Healthcare Financial Management Association [HFMA]; registration may be required 
[Guidance Overview] Nov. 30, 2025 "Key 2026 changes to machine-readable files (MRFs) include replacing estimated allowed amounts as the listed element when payer-specific negotiated charges are expressed as a percentage or an algorithm. Instead, the hospital must convey the median allowed amount and the 10th and 90th percentile allowed amounts. The rule thus phases out estimated allowed amounts only one year after CMS added them as an MRF component." MORE >> |
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