Testing & Certification
As evidenced by other health IT programs, interoperability can be difficult to achieve. Without a formal testing and certification program, there is an increased risk that payers, providers and applications will not truly interoperate or only partially interoperate in real-world settings. As an established, independent certification organization, Drummond has specialized in healthcare IT for more than 20 years and recently joined in an innovative partnership with AEGIS.net (AEGIS), a trusted advisor and leader in information technology and professional consulting services to federal civilian, defense, and commercial sector clients.
Drummond and AEGIS are prepared to fill the interoperability gap and extend a valuable certification service to the payer community. This service will ensure that payer implementations of patient access APIs remain compliant with the Centers for Medicare and Medicaid Services (CMS) Interoperability and Patient Access final rule (CMS-9115-F) 1, as well as instill confidence in the ability to securely share data with patients and other payers.
The CMS Interoperability final rule impacts numerous stakeholders. Specifically, it requires CMS-regulated payers to implement and maintain a secure, standards-based Patient Access API that allows patients to easily access their claims and encounter information. The API infrastructure is built upon the HL7® FHIR® standard 2. Patients can then utilize third-party applications of their choosing to access their information within payer systems.
1 The Drummond Payer and Patient Access FHIR® Certification program is a private, voluntary program and is not approved, endorsed, or authorized by the Centers for Medicare and Medicaid Services or the Department of Health and Human Services.
2 HL7® and FHIR® are the registered trademarks of Health Level Seven International and their use of these trademarks does not constitute an endorsement by HL7