4 ways ADT event notifications improve payer performance

4 ways ADT event notifications improve payer performance

Posted Sep 14, 2021 from

  • The new CMS Rule for admission, discharge and transfer (ADT) notification for Conditions of Participation (CoPs) requirements and shared risk arrangements officially went into effect on May 1, 2021.
  • However, provider to provider communication is not the only focus of this latest CMS regulation.
  • Without these alerts, payers are unable to successfully manage the care and other issues, like readmissions, and increased costs for both the payer and the member.
  • That's not good, considering some PAs can be life-critical, such as a chemo patient who needs to have prior authorization before she can move on to another set of chemo treatments.
  • It can also be very difficult for the patient.
  • With the adoption of an all-in-one real-time health event notification solution like Consensus Signal, payers can work alongside providers to ensure that their members are on a path to better health outcomes that reduces waste and frustration.

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