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New CMS Pilot Gives Practices Access to Medicare Claims Data

Medical Billing


CMS announced a new pilot program for practices called Data at the Point of Care (DPC). The DPC pilot is based on application programming interface (API) standards and is part of the CMS MyHealthEData initiative. The pilot will provide practices access to Medicare claims data directly within their workflow such as previous diagnoses, past procedures, and medication lists without needing to log into another application. Pilot participants will receive a beneficiary’s claims data including data from other treating providers. To participate in the pilot, practices must have an EHR that is API enabled, and CMS is especially interested in working with those who already receive claims data from other payers and have integrated the information into their existing workflow. Those interested in participating in the DPC pilot program can sign up here.

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