What we check / Schema conformance
blockerHPT-L1-005
Methodology is present whenever a negotiated rate is present
Any row with a negotiated_dollar, negotiated_percentage, or negotiated_algorithm value must also state the methodology used to derive it (case rate, fee schedule, percent of total billed charges, etc.).
Regulatory citation
CMS v3.0.0 CSV/JSON data dictionary, standard_charges.methodology (required when negotiated fields present)
How to fix it
Populate standard_charge|methodology for every row that has a negotiated dollar, percentage, or algorithm value.
Active since
2024-01-01