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CMS Proposed
Rules for 2020
The Wave of Changes for
Payers & Providers
Healthcare Consultant Keerthi Chavva is a subject matter expert at Nalashaa with hands-on
experience with different clinical and billing workflows. She is proficient with analyzing and
embedding different regulations within regular workflows and identifying solutions that help
providers with better A/R outcomes. She is passionate about creating generalized solutions
that indicate providers from multiple perspectives w.r.t different regulatory programs.
A Little Background to Start
With
Payers
Clinicians and Hospitals
Payer Proposals
Providers
Conclusion
3
4
4
6
10
12
Contents
All rights reserved © 2019 12
EPs / EHs / Payers should focus on improving interoperability and
upgrading solutions for patients to be able to securely access, aggregate,
and exchange their health information with other healthcare providers
through their smartphones, (or other devices) helping each other analyze
patient data for better outcomes.
Increase transparency in data sharing practices and strengthen technical
solutions to achieve patient security, so payers can access population-
level clinical data promoting economic transparency and operational
efficiency to lower both the cost of care and administrative costs.
Prioritize improving health IT and reducing documentation burden, time
inefficiencies, and hassle for health care providers, so they can focus on
their patients rather than their computers.
Conclusion
The 3 proposals for Providers apply to:
Hospitals: eligible hospitals (EH), short-term acute care, long-term
care, rehabilitation, psychiatric, children’s, cancer hospitals, and
critical access hospitals (CAHs); includes the hospital Promoting
Interoperability (PI) Program
Clinicians: physicians and eligible clinicians (EC); includes those in
Quality Payment Program (QPP)
We listen, we understand and we deliver.
WehavebeenaroundforawhilenowandhavebeenmakingourmarkintheHealthcare
industry. We have been steadily moving into various areas of US Healthcare, starting
off from Meaningful Use Stage 2. With time we have traversed the journey from the
clinical space to financial aspects of healthcare. Kind words from our clients and their
continued belief in our capabilities to deliver have kept us steadfast on the path of
growth.
Nalashaa heatlhcare solutions is well suited to help payers and
providers adhere to these brand new regulatory requirements,
helping both payers and providers resolve the challenges related to
healthcare information sharing.
The new proposed rule for providers and payers for the year
2020, introduces vital provisions for EHR interoperability. These
new initiatives further add momentum to the CMS’s vision of
healthcare interoperability.
Contact Us
510 Thornall Street, Suite 210, Edison, NJ-08837, USA
732-602-2560 X 200	 www.nalashaahealth.com
About Us
Get in Touch
Speak With the Experts

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CMS rules 2020 preview

  • 1. CMS Proposed Rules for 2020 The Wave of Changes for Payers & Providers Healthcare Consultant Keerthi Chavva is a subject matter expert at Nalashaa with hands-on experience with different clinical and billing workflows. She is proficient with analyzing and embedding different regulations within regular workflows and identifying solutions that help providers with better A/R outcomes. She is passionate about creating generalized solutions that indicate providers from multiple perspectives w.r.t different regulatory programs.
  • 2. A Little Background to Start With Payers Clinicians and Hospitals Payer Proposals Providers Conclusion 3 4 4 6 10 12 Contents
  • 3. All rights reserved © 2019 12 EPs / EHs / Payers should focus on improving interoperability and upgrading solutions for patients to be able to securely access, aggregate, and exchange their health information with other healthcare providers through their smartphones, (or other devices) helping each other analyze patient data for better outcomes. Increase transparency in data sharing practices and strengthen technical solutions to achieve patient security, so payers can access population- level clinical data promoting economic transparency and operational efficiency to lower both the cost of care and administrative costs. Prioritize improving health IT and reducing documentation burden, time inefficiencies, and hassle for health care providers, so they can focus on their patients rather than their computers. Conclusion The 3 proposals for Providers apply to: Hospitals: eligible hospitals (EH), short-term acute care, long-term care, rehabilitation, psychiatric, children’s, cancer hospitals, and critical access hospitals (CAHs); includes the hospital Promoting Interoperability (PI) Program Clinicians: physicians and eligible clinicians (EC); includes those in Quality Payment Program (QPP)
  • 4. We listen, we understand and we deliver. WehavebeenaroundforawhilenowandhavebeenmakingourmarkintheHealthcare industry. We have been steadily moving into various areas of US Healthcare, starting off from Meaningful Use Stage 2. With time we have traversed the journey from the clinical space to financial aspects of healthcare. Kind words from our clients and their continued belief in our capabilities to deliver have kept us steadfast on the path of growth. Nalashaa heatlhcare solutions is well suited to help payers and providers adhere to these brand new regulatory requirements, helping both payers and providers resolve the challenges related to healthcare information sharing. The new proposed rule for providers and payers for the year 2020, introduces vital provisions for EHR interoperability. These new initiatives further add momentum to the CMS’s vision of healthcare interoperability. Contact Us 510 Thornall Street, Suite 210, Edison, NJ-08837, USA 732-602-2560 X 200 www.nalashaahealth.com About Us Get in Touch Speak With the Experts