Compliance: Know These 5 Interoperability Policies

Why This Topic Matters

The policies discussed may affect patient access workflows, payer technology requirements, provider directory maintenance, compliance visibility, and hospital participation obligations. Understanding the scope of these changes helps organizations assess readiness for interoperability and related compliance responsibilities.

Article Sections

1. Overview and regulatory context

   Introduces the CMS and ONC interoperability rulemaking and explains the broader policy context for patient access and information exchange.

2. 1. Expect to be called out on data blocking

   Discusses public reporting and attestation-related compliance visibility tied to information blocking concerns.

3. 2. Register new API requirements

   Covers new API expectations for payers and the use of standards-based health information exchange technology.

4. 3. Presume provider data will be in an API directory

   Addresses provider directory content within APIs and the broader accessibility of provider information.

5. 4. Have your contact information handy online

   Summarizes public reporting related to maintaining digital contact information in a national provider registry.

6. 5. Tack on another Medicare CoP

   Describes a new Medicare hospital participation requirement related to electronic patient event notifications.