Meade District Hospital
Latest evaluation
Hospital and file facts
Transparency checks
Attestation and responsible official1 failed
MRF correctly encodes the accuracy and completeness attestationFailed
must have required property 'attestation'
MRF correctly encodes the attester's namePassed
The completed structural evaluation reported no deficiency for this nonconditional check.
Hospital and MRF information1 failed
MRF declares this hospital's Type 2 NPICouldn't determine
Why: The hospital's file does not include a value this check needs.
The MRF does not declare a Type 2 NPI.
MRF correctly encodes its template version and update dateFailed
The value in this MRF's version data element "2.2.0" does not match the expected template version "3.0.0" for the data dictionary requirements selected for validation.
Standard charges5 failed
MRF lists a gross charge for every item and serviceNot assessed
Why: The price file alone cannot answer this; it needs evidence from outside the file.
Gross charge values are populated on 1,472 charge objects and blank on 0 charge objects. The MRF alone cannot prove that every applicable hospital item or service is represented.
MRF lists a discounted cash price for every item and service that has oneNot assessed
Why: The price file alone cannot answer this; it needs evidence from outside the file.
Discounted cash price values are populated on 1,472 charge objects and blank on 0 charge objects. The MRF alone cannot prove that every applicable hospital item or service is represented.
MRF correctly encodes the de-identified minimum negotiated chargeCouldn't determine
Why: The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear.
The CMS validator reported 11347 errors about the charge rows that CareCarta could not attach to a specific check, so this check is not called clear. The errors are listed under template conformance.
MRF correctly encodes the de-identified maximum negotiated chargeCouldn't determine
Why: The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear.
The CMS validator reported 11347 errors about the charge rows that CareCarta could not attach to a specific check, so this check is not called clear. The errors are listed under template conformance.
Payer-specific negotiated charge5 failed
MRF correctly encodes payer and plan namesCouldn't determine
Why: The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear.
The CMS validator reported 11347 errors about the charge rows that CareCarta could not attach to a specific check, so this check is not called clear. The errors are listed under template conformance.
MRF correctly encodes how each charge was establishedCouldn't determine
Why: The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear.
The CMS validator reported 11347 errors about the charge rows that CareCarta could not attach to a specific check, so this check is not called clear. The errors are listed under template conformance.
Rate expression and methodology5 failed
MRF expresses each negotiated rate as a dollar amount, percentage, or algorithmFailed
must NOT have fewer than 1 characters (reported 430 times).
Percentage and algorithm rates give enough information to derive a dollar amountCouldn't determine
Why: This needs a person to judge; the automated check cannot decide it.
8,841 percentage- or algorithm-based payer rates require semantic review of whether a reasonable user can derive a dollar amount.
Allowed-amount statistics4 failed
MRF correctly encodes the 10th percentile allowed amountFailed
must match "then" schema (reported 18,542 times). must have required property '10th_percentile' (reported 9,271 times).
MRF correctly encodes the median allowed amountFailed
must match "then" schema (reported 18,542 times). must have required property 'median_amount' (reported 9,271 times).
MRF correctly encodes the 90th percentile allowed amountFailed
must match "then" schema (reported 18,542 times). must have required property '90th_percentile' (reported 9,271 times).
MRF correctly encodes the count of allowed amountsFailed
must have required property 'count' (reported 9,271 times). must match "then" schema (reported 18,542 times).
Item and service information2 couldn't be determined
MRF correctly encodes each item or service descriptionCouldn't determine
Why: The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear.
The CMS validator reported 11347 errors about the charge rows that CareCarta could not attach to a specific check, so this check is not called clear. The errors are listed under template conformance.
MRF correctly encodes the inpatient or outpatient settingCouldn't determine
Why: The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear.
The CMS validator reported 11347 errors about the charge rows that CareCarta could not attach to a specific check, so this check is not called clear. The errors are listed under template conformance.
MRF correctly encodes drug units and measurement typeNot applicable
No NDC-coded records were found across 1,472 parsed records.
Billing and coding information1 couldn't be determined
MRF correctly encodes billing codes and code typesCouldn't determine
Why: The CMS validator reported problems CareCarta could not attribute to a specific check, so this one is not called clear.
The CMS validator reported 11347 errors about the charge rows that CareCarta could not attach to a specific check, so this check is not called clear. The errors are listed under template conformance.
MRF lists every applicable modifier and its chargesNot assessed
Why: The price file alone cannot answer this; it needs evidence from outside the file.
The MRF was parsed for encoded modifiers, but the file alone cannot establish whether every applicable modifier-specific charge is represented.
CMS file format1 failed
MRF passes the CMS validator without errorsFailed
must have required property 'count' (reported 9,271 times). must match "then" schema (reported 18,542 times). must have required property 'median_amount' (reported 9,271 times). must have required property '10th_percentile' (reported 9,271 times). must have required property '90th_percentile' (reported 9,271 times). must NOT have fewer than 1 characters (reported 11,775 times). must be number (reported 842 times). must have required property 'location_name' must have required property 'type_2_npi' must have required property 'attestation'
Publication and accessibility1 failed
MRF downloads without paymentPassed
CareCarta retrieved the file without payment.
MRF downloads without an account or passwordPassed
CareCarta retrieved the file without an account or password.
MRF downloads without submitting personal informationPassed
CareCarta retrieved the file without submitting personally identifiable information.
MRF downloads to an automated clientPassed
An automated HTTP client downloaded the declared MRF successfully.
MRF is a CSV or JSON file, optionally compressedPassed
The downloaded artifact provides JSON that can be processed as structured text.
MRF file name follows the CMS conventionFailed
The published file name 480966086_Meade District Hospital_standardcharges (3).json does not match the required standardcharges file name structure.
cms-hpt.txt is published and uses the required fieldsPassed
The cms-hpt.txt file uses the required canonical fields and valid values.
cms-hpt.txt links this hospital's MRFPassed
The cms-hpt.txt file declares one MRF (https://a9a4b96f-06fd-48d5-afab-60ad79a55e97.filesusr.com/ugd/3293c1_b634e2c6081e4736bc6956dddef01d94.json?dn=480966086_Meade%20District%20Hospital_standardcharges%20(3).json), so it is this hospital's.
Homepage has a link labelled Price TransparencyPassed
A labeled Price Transparency link (https://www.avhealthsystem.com/pricing-information) was observed in the acquired hospital homepage HTML.
Update frequency1 failed
MRF was updated within the past 12 monthsFailed
The MRF reports 2024-12-31, more than one year before this audit observation.
Shoppable services disclosureNot assessed
Website offers a qualifying shoppable-services list or price estimatorNot assessed
Why: CareCarta has not built this check yet.
CareCarta has not built an evaluator for the shoppable-services disclosure (45 CFR 180.60) yet, so this check cannot be decided.