Sharing sensitive member data as required by the CMS Interoperability and Patient Access Rule requires rigorous data management to mitigate risk.
KEY BENEFITS
Compliance must be approached holistically
Compliance calls for robust data management capabilities as well as support for FHIR API data exchange
Processes for assembling required data must be hardened and automated to enhance confidence and reduce risk.
Data management implementation must be unambiguous and tied directly to regulatory compliance requirements.
Automated cataloging provides confidence all data is accounted for with full transparency and provenance.
Ensure all data released outside the organization is consistent, reliable, and trustworthy.
Member and provider identities must be mastered and accurate to reduce risk and eliminate rework.
A single source of truth for consent ensures data is shared only with appropriate third parties.
CUSTOMER SUCCESS
CMS INTEROPERABILITY RESOURCES
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