The Centers for Medicare and Medicaid Services on Monday introduced a new proposed rule that would amend HIPAA to better support both pre-authorization requests and transactions — providing standards for electronic signatures. used in conjunction with healthcare attachments.
WHY IT IMPORTANT
The proposed rule is titled Adoption of Standards for Transactions of Healthcare Attachments and Electronic Signatures, and Amendments to Referral Certificates and Authorized Transaction Standards (CMS-0053-P). .
If finalized, it will promote the adoption of standards for transactions with pre-authorised attachments, including medical charts, x-rays, and paper-recorded vendor notes. doctor’s referral. Amendments to HIPAA will also include a standard for referral certification and authorized transactions.
According to CMS, the proposed rule could save $454 million a year in administrative costs and is another example of the agency’s efforts to reduce paperwork and streamline the supplier experience. level and patient.
TREND TO BIGGER
More details on the proposed changes can be found here. According to CMS, the rule “is intended to aid healthcare claims and streamline pre-authorization transactions” and “will make the submission and adjudication of healthcare claims more efficient.” by providing structured, standardized electronic data to payers.”
Additionally, by adopting a standard modification to referral certificates and authorized transactions, the proposed rule “could help reduce potential barriers to the adoption of value-based payments.” and significantly reduce administrative costs and unnecessary burdens on providers and health plans.”
The CMS proposal is available for review at the Federal Register. Comments can be submitted until March 22, 2023.
“The AHA supports setting a standard for attachments to reduce the administrative burden that clinicians have to bear,” said Terrence Cunningham, director of administrative simplification policy at the American Hospital Association. face-to-face and we look forward to providing strong comment after analyzing the specifics of the rule.”
ON PROFILE
“The proposals in this rule will provide a valuable tool to assist with electronic healthcare information submission,” CMS Administrator Chiquita Brooks-LaSure said in a statement.
“Health care providers are often forced to use manual processes such as mail, fax, or internet web portals when they respond to claims from health plans, resulting in delays delay and less time for patient care These important steps will promote more consistent and reliable communication between partners involved in healthcare transactions, improving the care experience take care of everyone.”
Email the writer: [email protected]
Healthcare IT News is a publication of HIMSS.
