Health Information Management

News: Proposed rule aims to increase opportunities for claims data scrutiny

CDI Strategies, June 9, 2011

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CMS released a new proposed rule on June 3 which aims to “give consumers and employers better information about the quality of healthcare,” according to CMS release. The proposed rule Medicare Program; Availability of Medicare Data for Performance Measurement includes several initiatives that would essentially standardize data collection and make claims information available to “qualified entities” for the evaluation of the performance of providers of services and suppliers.

“We believe the sharing of Medicare data with qualified entities through this program and the resulting reports produced by qualified entities would be an important driver of improving quality and reducing costs in Medicare, as well as for the healthcare system in general. Additionally, we believe this program would increase the transparency of provider and supplier performance, while ensuring beneficiary privacy,” the proposed rule states.

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