AHA lacks automated solutions demanding No Surprise Act, data exchange

Health and Wellness Informatics News

AHA shows concerns about the provisions of the No Surprise Act. Though, it suggests a solution by collaborating with IT vendors.

The AHA discusses data exchange problems with Medicare & Medicaid Services. It seeks guidance and feasibility in the requirement. Stacey Hughes is also the vice president of AHA. She expresses huge concerns regarding flexibility.

The No Surprise Act explains that any provider scheduling the item in good faith estimate from uninsured or individual must adhere it to the other co-providers.

The information transferred through billing rates and other discounts. The AHA seeking additional guidance will require the provider to fixate a timeframe. Also, enabling this will require practicing a management system. There is a lack of availability of such systems. The information is usually transferred to the payers and not to the providers. However, this leads to the unavailability of data exchange.

Unavailability of automated solutions, providers, have to manually put the data. As a result, the providers are not meeting the statutory requirement for data exchange. This, in turn, leads to error and manipulates the data presented.

Hughes states, “providers would need to individually determine how to transmit this information, which would inevitably lead to widespread variance throughout the industry (particularly given the differences in size and levels of technical sophistication among co-providers and co-facilities)…

Navigating a non-standardized process would place an enormous administrative burden on providers, beyond what regulators likely considered.”

There are many industries that pointed out the issue of data exchange. The No Surprise Act exchange provision is creating a challenge to the following issue. The Electronic data interchange group also pointed out the issue. The CMS concerns the same problems.

AHA also explain in the letter the solution. In collaboration with American Medical Association, HL7, and Medical Group Management Association. There will be a need for IT vendors to discuss the technologies. Information sharing is another main issue to consider. AHA dreams of standard technology to facilitate data exchange.


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