Healthcare organizations face a new challenge in their compliance efforts. The Centers for Medicare and Medicaid Services will begin enforcement of a new rule to drive interoperability and patient access to health information in July, 2021
The goal is to offer a more complete overview of a patient’s care — with the focus on CMS-regulated payers, such as Medicare Advantage, Medicare fee for service and managed care plans, along with Children’s Health Insurance Program coverage — opening the connection to all claims and encounter-level data, coupled with clinical data.
CMS is also bringing additional standards for more secure ways to share protected health information and to allow patients to have more visibility into how their own data is being shared. This is required to operate through Health Level 7 International’s Fast Healthcare Interoperability Resources (FHIR) Release 4.0.1 as the foundational standard to support the exchange of data through an application programming interface, or API.
When you think about Healthcare API compliance, contact us.
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