Health information technology | December 07, 2022

LeadingAge Comments on CMS RFI on Establishing a National Provider Directory 

LeadingAge has been advocating for administrative simplification efforts related to provider and Medicare Advantage organization processes such as credentialing, prior authorizations, and claims processing for some time. CMS recently sought information on the idea of establishing a National Directory of Healthcare Providers & Services (NDH), which shows promise to achieve some of these goals. LeadingAge submitted comments Dec. 6 on this Request for Information (RFI) regarding the importance of including post-acute providers in this directory versus limiting it only to physicians; how the NDH might reduce administrative burden in interactions with health plans but also with federal and state agencies through a single data entry process to enter and update core provider organization data;  how this NDH data may be accessed by MA plans for credentialing purposes, other providers for care coordination and the possibility to use this data to pre-populate other forms providers must complete for CMS and other payers. For our complete comments, click here