May 7, 2019

Hugh Gilenson of Data Motion and I co-wrote this article published on Healthcare IT Today on Direct messaging. It is something Hugh and I have been talking about in some form for a while. I know FHIR and APIs will be a big boon to healthcare interoperability, but we sh...

April 26, 2019

Lost amid the ONC release of its 2nd draft of TEFCA and extending the comment period on the Cures proposal, CMS released its annual Inpatient Prospective Payment System (IPPS) rule, and they used it to update their requirements for the Promoting Interoperability (PI) p...

January 10, 2019

This week Keith Boone made an interesting post on the future of FHIR and pontificating on which version ONC will adopt on its forthcoming regulations around 21st Century Cures and information blocking. He sees two possible choices: FHIR DSTU2 with Argonaut, or the newe...

October 24, 2018

Perhaps lost amidst the waiting for the proposed ONC rule on information sharing and 21st Century Cures support was ONC releasing three very detailed guidance documents dealing with post-certification surveillance:

  1. Overview Post-Certification Assessment

  2. Disclos...

October 9, 2018

Below are the comments I submitted to ONC regarding their proposed test data for the new opioid related measures introduced into the inpatient promoting interoperability program, specifically, the Verify Opioid Treatment Plan measure. 

Clarification of Data Elements


August 12, 2018

Last month CMS shared their Physician Fee Schedule proposed rule, and they included their MIPS CY 2019 proposals. Here is a summary of the proposals for the MIPS CY 2019 program, specifically focused on areas of interest to health IT developers. The final rule will be...

August 3, 2018

Yesterday, CMS dropped their final rule on the Inpatient Payment System (IPPS). Looking at the aspects dealing with the Promoting Interoperability program, everything is mostly finalized as projected from its NPRM, but I will summarize it here.

It should be noted that t...

June 22, 2018

I have had several discussions recently asking "why aren't more developers certifying for 2015 Edition" and I thought I would explore this subject and give some reasons why developers should stop waiting and start on 2015 Edition work.

I have written multiple times abou...

May 23, 2018

ONC had initially planned on releasing their rule updating their certification program regarding the implementation of the 21st Century Cures act in April, but it has now been delayed to September. For those who were not aware of it, here is what the abstract currently...

April 25, 2018

Yesterday CMS released their annual NPRM for Inpatient Prospective Payment System (IPPS) for acute care hospitals and long-term care hospitals, and they used the opportunity to propose several changes to Meaningful Use Program. Read on to see what has changed. 

A rose b...

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Promoting Interoperability Program Update - CY 2020 IPPS Proposal

April 26, 2019

Lost amid the ONC release of its 2nd draft of TEFCA and extending the comment period on the Cures proposal, CMS released its annual Inpatient Prospect...

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