Can you show which specific fields in your MRF violate 45 CFR § 180 right now, today?
Not a general assessment. Not a score. The exact fields, the exact rule citations, and the exact values that fail them.
Hospital MRF Compliance · 45 CFR § 180
Know if your pricing
files will fail audit
before CMS does.
Your MRF has violations you haven't found yet. ClearCare Audit tells you exactly where you're exposed and gives you the evidence to prove you fixed it.
CMS enforcement activity has increased every year since 2021. Corrective action penalties accrue from the date of violation, not the date of notice.
$300
Per-day civil monetary penalty, per hospital with no cap
45 CFR § 180.110
>50%
Of audited hospitals received a CMS corrective action request in 2023
CMS Price Transparency Audit Program
0
Standard MRF vendors that produce field-level compliance evidence
ClearCare product assessment, 2025
Built around CMS audit workflows
Aligned to 45 CFR § 180
Designed with hospital compliance teams
Field-level findings, not a score
A Direct Question
Three things most hospitals can't answer when CMS asks.
Most hospitals cannot answer any of these. ClearCare Audit exists to close that gap before a corrective action request makes it urgent.
If you corrected your file last quarter, can you prove what changed and who authorized it?
CMS corrective action requests ask for documentation of remediation, including who reviewed and approved each change before it was applied.
Can you reproduce your compliance determination independently without contacting a consultant?
A defensible compliance posture is one any party can verify against the file and the rules. A consultant report cannot be independently verified.
The Problem
Your pricing file is a compliance liability you can't currently see.
CMS audits are specific. They ask for exact fields, exact violations, and documented proof of remediation. Most hospitals have none of that documentation, not because they aren't trying, but because no tool existed to produce it.
How hospitals manage MRF compliance today
No systematic rule evaluation
Compliance is checked manually, if at all, against CMS guidance most teams do not have time to parse in full.
Fixes happen directly in the file
Someone edits the JSON or CSV, uploads a new version, and the original error disappears.
Consultants produce reports, not evidence
A PDF summary of findings does not satisfy a CMS corrective action request.
No defensible audit trail
When CMS asks who authorized a correction, most organizations cannot answer.
With ClearCare Audit
Every field evaluated against 45 CFR § 180
A full scan maps each field in your MRF to the exact CMS requirement it must satisfy and flags it by severity if it does not.
Corrections are previewed and authorized
Every proposed change is shown to a named reviewer before it is applied, and the original file state is never overwritten.
Structured evidence, not a narrative
The output of a session is a linked record set: finding to correction to approval, all verifiable against the file itself.
Compliance posture is documented
After a session, your organization has a formal determination backed by the scan record that produced it.
How It Works
Five steps from uncertainty to evidence.
ClearCare Audit is a structured process, not a dashboard you configure. Each step produces a specific, versioned record.
01
Upload & Intake
Your file enters the system. A session record is created before anything else.
Submit your MRF via direct upload or pre-signed URL. The system validates schema eligibility and creates a session ID that links every subsequent record.
intake · session-7741 · 2026-04-14T09:17Z
fileriverside-medical-mrf-2026-q1.json
schemacms-mrf-schema-v2.0.0
size4.2 MB · 18,440 charge rows
statuseligible for scan
sessionsession-7741 · initiated by M. Torres
02
Risk Scan
Every field evaluated against the current CMS rule registry.
Each field is evaluated against the enumerated requirements of 45 CFR § 180, with rule citations pinned to the registry version used at scan time.
scan-2849 · cms-mrf-rules-v2024-01 · complete
fields evaluated18,440
findings14 total
severity3 high · 7 medium · 4 low
rule versioncms-mrf-rules-v2024-01
03
Issue Breakdown
Each violation mapped to the specific field, rule, and current value.
Your compliance team reviews field name, affected billing code, the CMS rule it fails, current value, required value, and severity.
issue breakdown · session-preview
Finding 1
payer_specific_negotiated_rate · code: 99213 · current: null · required: non-null numeric
Finding 2
billing_code_type · code: 99213 · current: cpt · required: enumerated CPT
Finding 3
standard_charge_gross · code: 27447 · current: N/A · required: numeric
04
Controlled Fixes
Corrections reviewed and authorized before any change is applied.
For mechanically determinable violations, the system generates a side-by-side correction preview. A named reviewer authorizes each batch before anything is applied.
controlled fixes · session-preview
billing_code_type · 99213
Before"cpt"
After"CPT"
Authorization required
J. Harmon — VP Compliance
2026-04-14 11:42:09 UTC · fix-0041 approved
05
Audit Proof Bundle
One structured export. Ready to give to CMS.
The session produces a structured evidence bundle containing the original scan, correction diffs, post-correction scan, governance log, rule snapshot, and posture record.
audit proof bundle · session-preview
+original_scan · scan-2849verified
+correction_diff · fix-0041verified
+post_correction_scan · scan-2850verified
+governance_log · session-7741verified
+compliance_posture · bundle-0091verified
Time to Value
What you have in your first 7 days.
No integration project. No professional services engagement. Submit your file and you have a documented compliance posture within a week.
Day 1
Upload your MRF
Submit your current machine-readable file. Nothing in your existing pipeline is touched.
Day 1–2
Receive your finding table
Violations are listed by severity with exact rule citations so your team knows precisely where exposure exists.
Day 3–5
Review and authorize corrections
A named reviewer approves each proposed correction before it is applied, and that approval is recorded.
Day 6–7
Export your evidence bundle
You leave with an audit-ready package containing findings, corrections, approvals, and compliance posture.
After 7 days
After 7 days, your organization has a documented compliance posture, a field-level finding record, authorized corrections, and an audit-ready evidence bundle.
Audit Evidence
The record holds up because nothing in it can be changed after the fact.
Most compliance tools produce reports. ClearCare Audit produces records. The difference matters when CMS asks not just what your posture is, but how you know and who decided.
Every state is preserved exactly as it existed
When a correction is applied, the original scan record stays intact and the system creates a new record alongside it.
Every action links back to a specific person and time
Upload, scan, review, authorization, and export each create a timestamped entry in the governance log.
The same file and rule version produce the same result
Scan results are pinned to a specific version of the CMS rule registry so any party can verify the output.
vs. Alternatives
What you're working with now and why it's not enough.
The three most common approaches to MRF compliance all share the same flaw: none of them produce evidence that satisfies a CMS corrective action request.
Compliance Consultants
The problem
- —Engagements are slow and expensive.
- —Output is a report, not a record.
- —The next audit cycle starts over from scratch.
ClearCare Audit instead
- →Repeatable scans at any time
- →A structured, verifiable record from every session
- →History that accumulates instead of resetting
Internal Workflows
The problem
- —Manual reviews are inconsistent.
- —Direct file edits eliminate evidence.
- —Authorization lives in email threads.
ClearCare Audit instead
- →Consistent evaluation logic every time
- →Source files are never touched
- →Authorization embedded in the evidence record
Vendor Dashboards
The problem
- —Compliance scores lack a record behind them.
- —Opaque methodology is hard to explain to CMS.
- —No field-level rule citations or governance trail.
ClearCare Audit instead
- →Exact CFR citations for every finding
- →Explicit authorization on every change
- →Pinned, reproducible methodology
Who It's For
Three roles. Three reasons this matters to each.
CFO & Revenue Cycle
What is our actual audit exposure, and what would it cost if CMS acts?
- Quantify the liability before it materializes
- Reduce dependence on external compliance counsel
- Replace fire drills with predictable readiness
Chief Compliance Officer
If CMS audits us tomorrow, can I produce a defensible record of what we did and who approved it?
- Visibility at the rule level, not just a score
- Authorization embedded, not reconstructed
- An audit response that is ready to send
CTO & IT Leadership
What does this system touch, and what is the integration risk?
- Source data is never modified
- Safe alongside existing infrastructure
- Deterministic outputs your team can verify
Get Started
See where your file stands today.
We review your current MRF and show exactly where audit risk exists, rule by rule and field by field. Request a demo and we will follow up directly with your team.
Get a Compliance Risk Breakdown
Submit your current MRF for a full scan, a working review session, and a complete evidence bundle.