Inferscience offers the best HCC medicare risk adjustment services in Newton, MA. Inferscience has taken advantage of these new wider rules to expand functionality. Inferscience’s proprietary technology can extract clinical data from any web-based EHR and standardize it. The data can be made available to any application via API. It is the expectation that expanding functionality with these types of features will at the end of the day benefit providers and patients as well. The most important consideration, therefore, for the continuing success of this road map is for all interest groups to participate with attentiveness and intentionality. Because in the end, collaboration is the key to greater interoperability in healthcare.

1. Greater Interoperability in Healthcare
2022: Data & Technology
2022 has been a challenging year post-COVID-19 pandemic. It has overturned the way people
look at their health in the face of life and death for the past 2 years. Public health has never
been in chaos like how we saw it in 2020 and 2021 because COVID-19 defied even the tried and
tested health management of providers, and the well-established therapeutic position of the
pharmaceutical companies. The pandemic opportunities and obstacles changed the landscape
of the healthcare industry, and it served as a pin light for all stakeholders of health to look at
new and better ways of providing care.
Patient Demand
Patients have long advocated for greater and easier access to their HCC medical coding records
which was further shoved by the pandemic given the contactless demand in the last two years
in providing care. At the same time, patients are also requiring the necessity to maintain their
patient record privacy.

2. Patient demand is the most critical point of view because it sets the bar for success in public
health management and compliance. There needs to be a good measure of balance to address
their demands, but not taking for granted the fact that providers are also pivoting fast as the
landscape of their practice has changed over the last two years of practice.
Provider Response
On the other end of the health spectrum, healthcare providers are on the lookout for better
ways to serve their patients including quality treatment and current effective best practices,
especially in the face of the pandemic. On top of these adjustments in health management,
documentation plays a critical role to ensure that continuity of care is still exercised as the
different fields of expertise from doctors, nurses, all other medical specialties, pulmonary &
rehab specialties, and other allied health experts work together to secure the best patient care.
In view of these evolving healthcare practice conditions, the demand for sharing health data
increases, which is why all who work across the healthcare industry have a responsibility to
create a better and more interoperable healthcare system.
Industry Support
To respond to the growing need to meet patient demands and provider pressures, the
healthcare industry made an important step in 2021 amidst the pandemic with the
establishment of the 21st Century Cures Act Final Rule. This was in partnership with the Office
of the National Coordinator for Health Information Technology (ONC) and the Centers for
Medicare Risk Adjustment Coding & Medicaid (CMS), we talked a little bit more about this final
rule in our previous blog here as well. The implementing rules of the Cures Act require all
stakeholders involved in the delivery of healthcare including healthcare systems, select payer
organizations, and Health Information Technology (IT) developers of certified health IT, health
information exchanges (HIEs), or health information networks (HINs) to comply with the
seamless exchange of electronic health information (EHI).
Health IT vendors are in a tough situation too as questionable information blocking and
mandatory sharing need to be both addressed. Health IT vendors need to provide patients with
access to their health data, primarily through FHIR (Fast Healthcare Interoperability Resources)
APIs. On the other hand, they also need to ensure that there is continuity and stability as the
exchange, transfer, migration, and connection of clinical data registry happens across different
health provider environments.
For the success of implementing greater interoperability in healthcare, data privacy is another
concern that needs critical attention. This is because even if patients demand easy and quick
access does not mean that their privacy can be taken for granted.

3. Ultimately, health IT should make data sharing efficient to help with the consistent delivery of
quality care to patients while maintaining a stable balance with their data privacy. On top of
these important contributions, Health IT also plays a significant role in the advancement of
healthcare systems from the early Meaningful Use requirements to successfully enabling
patient access using any app of their choice, making accessibility and portability possible.
Success Requisite
The challenge is great for everyone in the healthcare spectrum. That is why the need to define
frameworks for consent and segmentation and the technology applied behind them ought to
be accurately determined. One of the key drivers for many industry players to achieve the said
goals, include Change in Healthcare participation.
Change Healthcare participates in Health Level 7 (HL7), supporting the development of FHIR
profiles, including those that can be used to communicate consent.
“HL7 stands for Health Level 7 and it is a set of clinical standards and messaging formats that
provide a framework for the management, integration, exchange, and retrieval of electronic
information across different healthcare systems. HL7 standards are developed and maintained
by Health Level Seven International, a healthcare standards organization.
The goal of HL7 is to enhance interoperability between healthcare information systems (HISs)
that have implemented it.” Paessler Change Healthcare is also involved in the activities of the
SHIFT task force (formerly known as Protecting Privacy to Promote Interoperability (PP2PI).
PP2PI, now the SHIFT task force, is composed of expert stakeholders across multidisciplinary
interest groups including the healthcare industry. The task force is continuously working to
address sensitive data segmentation to protect patient privacy, yet also focuses to promote
interoperability.
The goal of the SHIFT task force is focused on the development of nationally accepted use
cases, standards revision and administration of a national terminology value set, unanimity in
implementation guidelines considering patient safety and data usability, and collaboration with
the Office of the National Coordinator for Health Information Technology (ONC) on policy
drivers to push widespread adoption.
Conclusion
Healthcare in 2022 has been very challenging but it also birthed innovative opportunities to
improve the delivery of healthcare for patients. The integration of data and technology proved
that public health can be in a better position by learning from large amounts of information and

4. that their health and wellness can be better achieved when there is seamless sharing of medical
records.
Companies like Inferscience have taken advantage of these new wider rules to expand
functionality. Inferscience’s proprietary technology can extract clinical data from any web-
based EHR and standardize it. The data can be made available to any application via API. It is
the expectation that expanding functionality with these types of features will at the end of the
day benefit providers and patients as well.
The most important consideration, therefore, for the continuing success of this road map is for
all interest groups to participate with attentiveness and intentionality. Because in the end,
collaboration is the key to greater interoperability in healthcare.