E-NOTIFICATIONS CoP COMPLIANCE

Be Compliant Before May 1, 2021

The compliance requirement adds to the list of Conditions of Participation (CoPs) hospitals must fulfill to successfully maintain their CMS provider agreement. The CMS provider agreement is critical for hospitals as it determines whether they can receive CMS reimbursements, which often make up more than 50% of a hospital’s payer mix. To support hospitals across the nation in identifying a compliance solution for sending electronic event notifications (e-notifications) for inpatient admissions, discharges and transfers, and Emergency Department (ED) presentations and discharges, PatientPing has developed Route, the single solution that can guarantee full e-notifications CoP compliance.

Introducing Route

The Simplest, Most Comprehensive Solution to Guarantee Electronic Patient Event Notifications are Processed in a Secure and Compliant Manner

Built on PatientPing’s trusted national e-notifications network, Route alleviates hospitals’ compliance IT and data-sharing burdens. Route seamlessly delivers e-notifications to providers as identified by patients as well as to requesting community provider groups. Route manages all the complexities involved with sending required e-notifications, from executing data share agreements with all e-notification recipients, to managing and executing the frequent, real-time changes to a diverse array of patient roster types to track patient/provider attribution.

Route Handles All E-Notifications to Patient-Identified Providers

Providers Identified During Hospital Encounter

Patient (or patient record) identifies what provider(s) should be notified in the hospital EHR/registration system

PatientPing Matches the Identified Provider to Our National Directory

Patient encounter data, including patient-identified provider (NPI + other information), is processed and merged with PatientPing’s national database

PCPs and Other Identified Providers Receive Direct Messages

E-notifications are sent to the patient-identified provider in real time and are logged for audit reporting

Route Handles All E-Notifications to Patient-Identified Providers

Providers Identified During Hospital Encounter

Patient (or patient record) identifies what provider(s) should be notified in the hospital EHR/registration system

PatientPing Matches the Identified Provider to Our National Directory

Patient encounter data, including patient-identified provider (NPI + other information), is processed and merged with PatientPing’s national database

PCPs and Other Identified Providers Receive Direct Messages

E-notifications are sent to the patient-identified provider in real time and are logged for audit reporting

Community Provider Groups Request E-Notifications Through the Route Requester Portal

Using a Simple, Secure Form on the Hospital’s/Health System’s Website

The Route Portal then captures and fulfills all requests and provides an audit trail

Community providers submit requests

PatientPing representative validates and triages requests for fulfillment

E-notifications are sent in real time to valid requesting community providers

Recipients of Route E-Notifications Can Choose Their Desired Notification Format

Web App
SMS Alerts
Email Alerts
HL7 Integration
Data Download

Route Provides Full Audit Trail of E-Notification Receipts

Transparency, Security and Visibility into Data Sharing

Route Guarantees CoP Compliance

Route Ensures Complete E-Notifications CoP Compliance and Offers Increased IT Operational Efficiency

Explore 10 Critical Questions for Hospital CIOs on CMS’s E-Notifications CoP

Read Our Blog Post Here

Detailed Route Interoperability
Data Flow

View Full Network Architecture

Explore 10 Critical Questions for Hospital CIOs on CMS’s E-Notifications CoP

Read Our Blog Post Here

Detailed Route Interoperability
Data Flow

View Full Network Architecture

Reduce IT Complexity

Request a Demo
Request a Demo

*if a Route customer is ever found to have e-notification CoP deficiencies during a CMS survey as a result of Route, then we will deploy a PatientPing Compliance Expert onsite to help the hospital resolve the issue and develop the required corrective action plan within 10 business days at no cost.

“Conditions of Participation are a regulatory mechanism that can’t be taken lightly. I chose PatientPing’s solution, Route, because they are a focused organization that handles all the technical and data sharing complexity of managing multiple provider requests for ADT e-notifications.”

Rick Lang, CIO of Doylestown Health

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