Beyond Broken Links: The High Stakes of Provider Directory Accuracy in the No Surprises Era
Inaccuracies don’t just erode trust — they lead directly to surprise billing events, missed appointments, care delays, and in some cases, enforcement action.
Inaccuracies don’t just erode trust — they lead directly to surprise billing events, missed appointments, care delays, and in some cases, enforcement action.
Simplifying, synchronizing, and automating provider data management for payers and providers at scale will help capture billions of dollars in lost revenue and allow providers to maximize the value of their provider network.
Sheila Bond, MD, talked about the latest trends regarding integration of AI in healthcare.
CMS put out a request for information in October about a CMS-led national provider directory that would allow patients to find and compare providers based on preferences like language and location. Alexandra Mugge, director and deputy chief health informatics officer of the Health Informatics and Interoperability Group at CMS, said there is stakeholder support for the national directory — if it's executed correctly.
CMS is proposing a system in which it would collect information from providers that would go in a single national directory it maintains. AHIP is seeking a more collaborative directory between the government and private insurers.