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Enable CMS Interoperability using AI driven FHIRFlo Platform

Implement CMS Interoperability and Patient Access Final Rule (CMS-9115).Enable Prior Authorization API, Payer to Payer API, Provider API and other changes under CMS-0057 Final Rule with our AI driven FHIRFlo Platform.

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What is CMS Interoperability?

CMS Interoperability ensures seamless, secure healthcare data exchange using standards like FHIR, empowering patients, improving care coordination, and supporting value-based care.

Fast & HIPAA compliance

Gen AI Plugins

Flexible and Scalable

How to Implement CMS Interoperability with FHIRFlo?

By utilizing key components such as Data Connectors, FHIR Data Mapper, FHIR API Server, and FHIR Data Repository, organizations can efficiently implement CMS interoperability. This platform ensures compliance with CMS standards, facilitating secure, standardized access to patient information while enhancing healthcare operations.

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Enable CMS Interoperability Rules & APIs for Healthcare

Enable CMS Interoperability Rules and FHIR API. Implement CMS Interoperability and Patient Access Final Rule (CMS-9115-F) and Prior Authorization Final Rule (CMS-0057-F)

CMS Interoperability and Patient Access Final Rule (CMS-9115)

Convert and load 5 years of patient data for MA, Medicaid, CHIP, and QHP issuers on FFEs

  • Enable Patient Access API

  • Enable CARIN Consumer Directed Payer Data Exchange IG (also referred to as the CARIN IG for Blue Button®)  

  • HL7 FHIR Da Vinci PDex IG

  • HL7 US Core IG

  • HL7 FHIR Da Vinci

  • PDex US Drug Formulary IG

Enable Prior Authorization Support (PAS) API (CMS-0057)

Enable Prior Auth final rule integrating with existing 278 EDI transactions. Manage attachment and prior auth requests.

  • 278 Prior Auth real time and batch

  • Manage prior auth queue

  • Approve and Deny Prior auth

  • Manage Attachments 

  • Manage Case notes

  • AI driven confidence code

  • Check eligibility

  • Integrated with Pega, QNXT, Facets, HealthRules

Enable  Provider API,Payer to Payer API (CMS-0057)

  • Enable CARIN Consumer Directed Payer Data Exchange IG (also referred to as the CARIN IG for Blue Button®)

  • HL7 FHIR Da Vinci PDex IG

  • HL7 US Core IG

  • HL7 FHIR Da Vinci

  • PDex US Drug Formulary IG

  • Enable Da Vinci Payer Data Exchange

  • Enable HL7 FHIR Da Vinci

  • PDex Plan Net IG

Load  5 Years of Member and Patient Data

  • Transform data effortlessly with the HiPaaS FHIR Data Converter!

  • Easily manage claims adjudication and data loads—just point, connect, and convert.

  • HiPaaS integrates seamlessly with EHRs like Athena, Cerner, and eCW, connecting to databases or APIs to handle diverse formats including CCDA, HL7, CSV, JSON, and XML.

Enable FHIR API, Member and Patient Access and 3rd Party App

  • Enable all required FHIR APIs for CMS Interoperability.

  • Enable required security for Member and Patient login

  • Oauth2.0 .

  • Enable 3rd Party Registration of applications and Consent Management

Quick Data Validation & Cleansing 

  • Add various input data validation rules and data cleansing , or conversion rules via simple configuration.

  • Apply the rules to entire map or at field level

  • Clean Data before loading

What you get !

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Seamless CMS Compliance

Implement CMS Interoperability and Patient Access Final Rule (CMS-9115-F) for patient data access and exchange.

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Comprehensive Data Conversion

Load five years of patient data using HiPaaS FHIR Data Converter with support for diverse data formats like HL7 and CCDA.

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Advanced FHIR API Integration

Set up Patient Access, Provider, and Payer-to-Payer APIs using HL7 FHIR standards like Da Vinci, PDex IG.

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Simplified Claims Adjudication

Efficiently process claims with integrated solutions compatible with major EHRs like Athena and Cerner.

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Enhanced Data Security

Ensure secure member access with OAuth 2.0 and robust consent management for third-party apps.

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Flexible Integration

Integrate seamlessly with platforms like Pega, QNXT, Facets, and HealthRules for streamlined workflows.

One Solution, Infinite Possibilities!

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CMS Interoperability

Implement CMS Interoperability, Prior Authorization, and Payer-to-Payer Integration.

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Clinical Data Repository

Coverts your Lab, Observation, Condition data, etc into valid FHIR format

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EHR Data Migration

Convert legacy data into FHIR for migration to modern systems like Epic.

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FHIR API Server

FHIR API Server included to enable FHIR data access

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Data Conversion

Converts any data format i.e. CSV, PDF, XML, HL7, CCDA, JSON and Flat File data to valid FHIR Format.

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EHR Integration

FHIRFlo streamlines EHR integration, enhancing healthcare interoperability effortlessly.

Insights & Updates

HiPaaS Partners with Advanced Abilities to Transform Philippine Healthcare

HiPaaS is excited to announce a joint venture with Philippines-based Advanced Abilities. Together, we’ll tackle Universal Health Care by developing a central health repository to store and manage comprehensive healthcare data, ensuring seamless access for providers.

HiPaaS Healthcare AI Conference: Transforming Healthcare with AI

In November 2024, we brought together industry leaders, innovators, and AI experts to explore the future of healthcare and AI-driven solutions. Don’t miss out—mark your calendars for the next HiPaaS Healthcare AI Conference in February 2025!

Testimonials

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Converted 54M Patient Data

"An important part of the HiPaaS value proposition is the customer’s ability to integrate and compare proprietary data with over 54 million rows of longitudinal health records. Since the original patient data were not in FHIR format, we leveraged the HiPaaS FHIR data converter to convert and load to FHIR repository"

- Accenture

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Converted Tera Bytes of Claims and Clinical Data

"HiPaaS's FHiRFlo solution seamlessly converted terabytes of claims and clinical data into FHIR-compliant formats, ensuring accuracy, compliance, and enhanced interoperability. This transformation streamlined our operations, enabling seamless data exchange and driving better outcomes. Highly recommend FHiRFlo for modernizing healthcare data systems with precision and scalability!"

- Sentara

How to Get Started with FHIRFlo

SaaS

Cloud

On Prem

Ready to help your company scale faster? Let's chat about how we can help

USA:

6200 Stoneridge Mall Rd, Suite 300

Pleasanton, CA 94588

India:

HiPaaS Infotech

Unit-1015, 10th Floor, Lodha Supremus

Kolshet Road, Thane(West)-400607

Philippines:

GF, Gloria Building, Aguirre, Legazpi Village, Makati, Metro Manila, Philippines

Call Us on

Tel: +1 408-372-4313

Email Us

Sales:

Email: sales@hipaas.com

Get In Touch

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