Authors
As we sprint toward the 7/1/24 finish line, the MRF team at Turquoise has been reading, debating, rereading, building, ruminating, pontificating, and designing a best in class approach to creating a comprehensive, complete, and CMS-compliant hospital MRF. Since we work in the price transparency space, we decided to transparently document and publish our processes. Like reading our journal, but without all the ~ feels ~ that come with a teenager’s MySpace page.
The resulting repository contains documentation of Turquoise's full understanding and approach to hospital MRF generation. You’ll find information explaining our approach to professional rates, soft-coded CPTs, when and how claims data fits into the MRF process, bundled payment methodology, and more.
Although CMS has been actively responding to clarifying questions on github, a number of nuanced rate types and contract provisions remain open to interpretation. By publishing our rationale and decision-making processes, we hope to encourage further clarification around murky requirements to ensure all hospitals have a comprehensive tool kit to achieve full compliance.
The repository also contains a forum for discussions and questions we welcome anyone and everyone to utilize. As always, a reminder that Turquoise Health is not CMS, and the repository contains our own independent work and processes for representing data in MRFs. All formal CMS guidance is located here.
Jump into the Turquoise repository here.
Need help creating your MRF? Or want to discuss our approach in further detail? Reach out to our MRF team here.
See inside the black box
Traceable data, unified workflows, and total transparency
Related resources
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Turquoise Submits a Response to the CMS CPT Request for Information
TLDR: bring on the era of open license code sets.
