Health Rules Payer Data Sheet

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Data Sheet: HealthRules Payer Platform Overview

(3 days ago) WEBThis data sheet shows how HealthRules Payer helps health plans address opportunities, customer/provider satisfaction & core administrative processing system costs. HealthRules Payer helps health plans quickly address market opportunities, provide customer and …

https://healthedge.com/resources/data-sheets/healthrules-payer-data-sheet

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Health Rules Payor (HRP) Claims System Implementation …

(8 days ago) WEBThe webinars will include important information, FAQs and provider questions and answers that will be updated monthly. PartnershipHP.org. (800) 863-4155. Revised March 2024. …

https://partnershiphp.org/Providers/Documents/HRP_Bulletin_Final.pdf

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CMS Finalizes Rule to Expand Access to Health Information and …

(8 days ago) WEBFinal rule modernizes the health care system and reduces patient and provider burden by streamlining the prior authorization process. As part of the Biden …

https://www.hhs.gov/about/news/2024/01/17/cms-finalizes-rule-to-expand-access-to-health-information-and-improve-the-prior-authorization-process.html

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HealthRules® Payer – Exciting New Features & Improvements

(4 days ago) WEBThe HealthRules ® Payer engineering team has been working on several critical projects, and the January 2024 release of the solution is packed with new …

https://healthedge.com/resources/blog/hrp-healthrules-payer-exciting-new-features-improvements

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Policies and Technology for Interoperability and Burden Reduction

(1 days ago) WEBRead the Fact Sheet to learn more about the policies for Interoperability and Patient Access final rule. and adds several new provisions to increase data sharing and reduce …

https://www.cms.gov/policies-and-technology-interoperability-and-burden-reduction

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HRP Data Sheet - HealthEdge

(Just Now) WEBWith the HealthRules Language, payers define the rules, terms, and business logic that is easily understood by everyone. The unique characteristics of the HealthRules Language …

https://go.healthedge.com/rs/803-KIL-291/images/HE21_CompetitivePressures_ExecSurvey_Infographic.pdf

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Payer-to-Payer Data Exchange CMS - Centers for Medicare

(4 days ago) WEBPayer-to-Payer Data Exchange. Is CMS still exercising enforcement discretion for the payer-to-payer data exchange provisions of the May 2020 …

https://www.cms.gov/priorities/key-initiatives/burden-reduction/faqs/payer-payer-data-exchange

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INTEROPERBILITY AND PATIENT ACCESS FINAL RULE (CMS …

(1 days ago) WEBmaintain to mean the impacted payer has access to the data, control over the data, and authority to make the data available through the API (85 FR 25538). Payers are only …

https://edit.cms.gov/files/document/cms-9115-f-interoperability-and-patient-access-final-rule-compiled-faqs.pdf

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Advancing Interoperability and Improving Prior Authorization

(1 days ago) WEBPayer-to-Payer Data Exchange on FHIR ® In the Interoperability and Patient Access final rule (85 FR 25510), we required that, at a patient’s request, certain …

https://www.cms.gov/newsroom/fact-sheets/advancing-interoperability-and-improving-prior-authorization-processes-proposed-rule-cms-0057-p-fact

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Interoperability and Patient Access Fact Sheet CMS

(7 days ago) WEBThe Interoperability and Patient Access final rule (CMS-9115-F) delivers on the Administration’s promise to put patients first, giving them access to their health …

https://www.cms.gov/newsroom/fact-sheets/interoperability-and-patient-access-fact-sheet

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Interoperability Patient Access Final Rule (4/21/20) - HHS.gov

(9 days ago) WEBCMS INTEROPERABILITY & PATIENT ACCESS FINAL RULE DR. A V/ DR. A DR. B DR. C 2021 my healtte data JAN 1 2022 Payer-to-Payer data exchange Payers required to …

https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/Interoperability_Patient_Access_Final_Rule_042120_5CR_042220_23.pdf

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Federal Register :: Medicare and Medicaid Programs; Patient …

(4 days ago) WEBAfter considering stakeholder concerns about implementing the payer to payer data exchange requirement finalized in the CMS Interoperability and Patient …

https://www.federalregister.gov/documents/2022/12/13/2022-26479/medicare-and-medicaid-programs-patient-protection-and-affordable-care-act-advancing-interoperability

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All-Payer Claims Agency for Healthcare Research and Quality

(9 days ago) WEBInventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases: Data Evaluation of All-Payer Claims Databases This …

https://www.ahrq.gov/topics/all-payer-claims.html

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CMS Finalizes Rule to Expand Access to Health Information and …

(5 days ago) WEBFinal rule modernizes the health care system and reduces patient and provider burden by streamlining the prior authorization process . As part of the Biden …

https://www.cms.gov/newsroom/press-releases/cms-finalizes-rule-expand-access-health-information-and-improve-prior-authorization-process

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Summary of the HIPAA Privacy Rule HHS.gov

(9 days ago) WEBA limited data set is protected health information from which certain specified direct identifiers of individuals and their relatives, household members, and …

https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html

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