4 ways ADT event notifications improve payer performance
Posted Sep 14, 2021 from healthcaredive.com
- 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.