Time Is Running Out: Let’s Get You Compliant

CMS-0057-F ushers in a new era of interoperability and efficiency in healthcare. This regulation requires FHIR-based APIs for seamless Patient Access, Provider Access, and Payer-to-Payer data exchange, along with reduced prior authorization timeframes and detailed public reporting.

We assess your current setup and implement robust, future-ready systems tailored to CMS-0057-F requirements. With experience delivering successful transitions for national payers and providers, we ensure your systems not only meet the regulations but position you for long-term success.

For those already configured for CMS-9115-F, the path to CMS-0057-F compliance requires more than minor adjustments. It demands: Scaleable Solutions, Deep Expertise and Seamless execution.

The clock is ticking. With the CMS-0057-F deadline fast approaching, early planning is key to avoiding last-minute rushes and costly inefficiencies. Partner with us today to ensure compliance—on time and with confidence.

Payer Interoperability and Burden Reduction

Patient Access APIs and FHIR data transformation

Payer to payer data exchange

Electronic prior authorization (in real time)

Provider Access APIs for Payer data access

Payer performance (HEDIS & STARS)

Clinical data acquisition and support to close gaps

Prescription data exchange to payers – Med adherence

Prevent hospital readmissions – Smart notifications

Provider directory management and FHIR compliance

Incorporating Social Determinants of Health (SDoH) data

Attribution information sharing at point of care

Prevent fraud and abuse of narcotic drugs with real-time PDMP

Interoperability solutions for Payers, Providers and Patients

Pharmacy dispensed medication data exchange with providers

IoT and remote patient monitoring data to payer and provider

Patient generated wellness data exchange with providers

Digital therapeutics and app prescriptions from EMRs

Care Plan exchange between payers and providers

SDoH data sharing to prevent duplication of social services

Longitudinal data sharing to facilitate Telemedicine and virtual care

International Patient Data Portability

Patient consented data exchange for research and clinical trials, life insurance and payer risk adjustment

Social security and disability determination with patient consent

Vaccination and immunization data availability for schools and employers

21st Century Cures Act and Information Blocking

Provider Access API

3rd party app on-boarding

SMART on FHIR Apps Integration and development

Data extraction from

Decision Support Interventions (DSI) and Algorithmic Transparency Advisory