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How you can prepare for the upcoming payer-to-payer CMS mandate

After completing the Patient Access and Provider Directory API rules, you must now begin preparing for the next major requirement of the CMS Interoperability mandate - the Payer-to-Payer Data Exchange - which comes into effect on January 1, 2022.

By January 2022, regulated payers must be able to electronically exchange certain data elements finalized in the ONC Cures Act Final Rule, such as patient clinical data from the U.S. Core Data for Interoperability version 1 data set, upon a current or former enrollee’s request. While payers are required to share data received from another payer under this requirement in the electronic format they were received, FHIR API’s will be an important method to comply with this rule.

Key Takeaways:

In this second webinar series, we will identify and discuss the key planning requirements that are involved and how to address them quickly and cost effectively in alignment with the continued evolution of HL7 FHIR-based interoperable healthcare standards. Key topics that will be discussed are:

  • Overview of the requirements and the context for this rule
  • Review the Payer-to-Payer IG applied to this mandate
  • Leveraging the work done for the Patient Access API to satisfy this mandate
  • Discuss the unique aspects of Payer-to-Payer Data Exchange

Join the webinar to succeed in your interoperability journey and be future ready!

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