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On December 11, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule designed to improve electronic health care data exchange and streamline the prior authorization process. The CMS fact sheet accompanying the proposed rule stated that its goal is “reducing overall payer and provider burden and improving patient access to health information.”
The proposed rule includes five sets of proposals and five requests for information. The proposals include the following:
Patient Access Application Programming Interface (API) – This proposal builds on the Interoperability and Patient Access final rule, which required certain payers to implement a Fast Healthcare Interoperability Resources-based Patient Access API. CMS would now require these payers to include information about patients’ pending and active prior authorization decisions in the API. These payers would also be required to maintain
CMS Proposes Rule to Streamline Prior Authorization medscape.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from medscape.com Daily Mail and Mail on Sunday newspapers.
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The U.S. Department of Health and Human Services (HHS) Office
for Civil Rights (OCR), the agency that enforces the Health
Insurance Portability and Accountability Act of 1996 (HIPAA), is
the latest federal agency to jump on the HHS rulemaking bandwagon
issuing a Notice of Proposed Rulemaking (NPRM) on
December 10, 2020, that proposes pivotal changes to key standards,
definitions, and patient rights under the HIPAA Privacy Rule, which
are geared toward promoting care coordination and value-based care,
and empowering patients with greater access to their health
Dec 15, 2020 6:00am
Audacious Inquiry developed PULSE as a health IT tool to be used during emergencies such as hurricanes and pandemics where patients are displaced and clinicians are providing care in alternate care settings like field hospitals, medical shelters or quarantine sites. (Wavebreakmedia/GettyImages)
Surescripts and health IT company Audacious Inquiry are teaming up to make patients medication history data more easily accessible to providers during disasters like hurricanes and the COVID-19 pandemic.
As part of the collaboration, Surescripts, an electronic prescribing company, will integrate medication history data into Audacious Inquiry’s Patient Unified Lookup System for Emergencies (PULSE) tool.
New interoperability rules address prior authorization inefficiencies, CMS says healthcarefinancenews.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from healthcarefinancenews.com Daily Mail and Mail on Sunday newspapers.