With the announcement on March 9, 2020 of the Interoperability and Patient Access Final Rule, the Centers for Medicare & Medicaid Services has set a timeline with significant implications for healthcare organizations.

Striking the balance between providing members with access to data, while protecting patient privacy and providing information to members can be daunting. Health Language can help you transform, normalize, and translate your data, helping you standardize to the USCDI, identify and then suppress sensitive member information before it’s shared, and translate complex medical jargon into simple and easy-to-understand consumer language.

Our comprehensive approach allows you to meet the deadlines outlined in the pair of final rulings while also avoiding penalties associated with information blocking.
   

ONC and CMS Interoperability Rules
 
Watch this video to see how Health Language’s solutions can help you comply.
Our 20+ year history and expertise with standardizing, transforming, and extracting healthcare data means Health Language is prepared to help you comply with new federal guidelines.

   

Health Language solutions address new interoperability guidelines

USCDI Terminology Compliance 

The US Core Data for Interoperability (USCDI) outlines a standardized set of core data classes defined by various standards including SNOMED CT®, ICD-10, LOINC®, RxNorm, and others. 

As terminology experts, the Health Language Reference Data Management solutions help you stay up to date and in compliance with the ever-changing industry standards needed to be in compliance with the USCDI.

Centralize and Manage your Clinical, Claims, and Reference Data
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Map Data to USCDI Standards 

While there is a proliferation of healthcare data, the most critical step is to ensure data is mapped appropriately to industry standard terminologies to enable semantic interoperability while adhering to USCDI standards for data sharing. 

Health Language offers Interoperability and Data Normalization solutions that help harmonize disparate data such as lab results coming over in the form of HL7 messages but have not been recorded in the appropriate LOINC terminology.  

Make the Data Easy to Understand

The CMS Interoperability and Patient Access final rule is focused around giving patients access to their own health information; however, that doesn’t necessarily mean they will be able to understand it. 

Health Language has built a library of consumer-friendly descriptions that translate complex medical descriptions, terminology and codes into simple, easy-to-understand consumer language that can be integrated into patient or member portals, embedded into third party applications, or used in electronic communications. 
 
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Optimizing Medical Necessity Review

Protect Patient and Member Privacy

Health Language’s Sensitivity Codes is a proprietary content set that includes sensitive categories such as substance abuse, mental health, HIV, STD, family planning, genetic testing, and more. 

Sensitivity Codes enable healthcare organizations to identify potentially sensitive information and can automatically mask the sensitive diagnoses, procedures, labs, drugs, or mental health codes to protect the patients' or members' privacy. 

In addition to supporting the goals of the ONC and CMS rule, the Health Language Sensitivity Codes also supports compliance with 42 CFR Part 2, HIPAA, and varying state laws, including concealment of information of minors under 18 years of age. 

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On Demand Webinar: ONC/CMS Interoperability Rules - Start Now to Comply by the Deadlines 

Watch now to learn what steps you can take now to prepare for the new guidelines.  

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Read our whitepapers related to the ONC/CMS interoperability guidelines

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Bombshell or Long Overdue Change?

The time is here for health plans to transform how they collect, manage, and share data. On March 9, 2020, the Office of the National Coordinator (ONC) and the Centers for Medicare & Medicaid (CMS) released the final rules covering interoperability, information blocking, data accessibility and transparency, and EHR certification criteria.
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The Interoperability at Patient Access. What Payers Need to Know

Specifically, the final rule impacts plans providing coverage to beneficiaries of Medicare Advantage (MA), Medicaid, Children’s Health Insurance Program (CHIP), and Qualified Health Plans (QHPs) available through the health insurance exchanges across the United States.
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Health Plans Leverage Data for Member Health

Data Sharing Done Right: Cost Containment in the New Payment Paradigm 

As the industry continues to move away from fee-for-service, it’s become increasingly clear that data-sharing is a crucial component of value-based payment arrangements. For payers, technology can be a powerful tool in the administration of care and disease management programs, and ultimately one that helps drive down costs. 
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Speak to an expert to learn how we can help you comply with the interoperability guidelines

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