HHS Proposes to Standardize Electronic Health Care Attachments Transactions and Electronic Signature Processes to Improve the Care Experience for Patients and Providers

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

CMS, on behalf of HHS, issued the proposed rule, Adoption of Standards for Health Care Attachments Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Transaction Standard (CMS-0053-P). If finalized, the proposed rule would adopt standards for “health care attachments” transactions, such as medical charts, x-rays, and provider notes that document physician referrals and office or telemedicine visits. The modifications to the adopted Health Insurance Portability and Accountability Act of 1996 (HIPAA) transactions would support both health care claims and prior authorization transactions, standards for electronic signatures to be used in conjunction with health care attachments transactions, and a modification to the standard for the referral certification and authorization transaction. The proposed rule estimates a savings of $454 million annually in administrative costs and is a part of HHS’ and CMS ongoing efforts to significantly reduce paperwork burdens and empower health care providers to focus on direct patient care and streamline the care experience for patients and providers.

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The deadline to submit comments is March 22, 2023. CMS encourages comments from all interested members of the public, and in particular, from patients and their families, providers, clinicians, consumer advocates, health plans, and health care professional associations