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INTEROPERBILITY AND PATIENT ACCESS FINAL RULE (CMS …

Office of Burden Reduction and Health Informatics (OBRHI). Health Informatics and Interoperability Group (HIIG). INTEROPERBILITY AND PATIENT ACCESS FINAL RULE (CMS-9115-F). FREQUENTLY ASKED QUESTIONS (FAQs). ! Table of Contents General CMS-9115-F Overview ..2. PATIENT ACCESS API .3. Payer-to-Payer Data Exchanges ..5. Provider Directory API 6. Compliance and Testing of the Required APIs ..7. Technical .9. Medical Loss Ratio (MLR) for Medicaid MCOs, MA Plans, and Issuers of QHPs on the Federally- Facilitated Exchanges .9. Missing Provider Digital Contact Information and Public Reporting .10. Admission, Discharge, and Transfer PATIENT Event Notification Conditions of Participation (CoP).

final rule, we said that the Patient Access API must meet the technical standards as finalized by HHS in the ONC 21st Century Cures Act final rule, the content and vocabulary standards adopted at 45 CFR part 162 and 42 CFR § 423.160 and the United States Core Data for Interoperability (USCDI) version 1, also finalized by HHS (see citations ...

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