Interoperability is a complex topic that can be challenging for quality and risk adjustment teams. Numerous obstacles have impeded progress to date, including but not limited to legacy infrastructure, stakeholder alignment, provider buy-in, and managing multiple vendors. However, with the advent of the Trusted Exchange Framework and Common Agreement (TEFCA) and the Centers for Medicare & Medicaid Services (CMS) recently finalizing the Interoperability and Prior Authorization Final Rule, the entire healthcare industry has a significant incentive to rapidly invest in interoperability within the next few years.

View Entire Post