This sentence needs rewording to accurately capture the roles and intents of the parties - CDex #136

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    • Type: Change Request
    • Resolution: Not Persuasive
    • Priority: Medium
    • US Da Vinci CDex (FHIR)
    • STU3
    • Financial Mgmt
    • (many)
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      This is the existing wording – considered to sufficient
      The goal is to identify, document and constrain specific exchange patterns so that providers and payers can reliably exchange information for patient care (including coordination of care), risk adjustment, quality reporting, identifying that requested services are necessary and appropriate (e.g. should be covered by the payer) and other uses that may be documented as part of this effort.

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      This is the existing wording – considered to sufficient The goal is to identify, document and constrain specific exchange patterns so that providers and payers can reliably exchange information for patient care (including coordination of care), risk adjustment, quality reporting, identifying that requested services are necessary and appropriate (e.g. should be covered by the payer) and other uses that may be documented as part of this effort.
    • Robert Dieterle / Jay Lyle: 3-0-2

      Existing Wording: identifying that requested services are necessary and appropriate (e.g. should be covered by the payer)

      Comment:

      This sentence needs rewording to accurately capture the roles and intents of the parties as the payor determines whether the services proposed are reimburseable, in part or in whole, under the policy with the subscriber and whether from a fiduciary not a clinical perspective they appear sound.

      Summary:

      This sentence needs rewording to accurately capture the roles and intents of the parties

            Assignee:
            Unassigned
            Reporter:
            Paul Knapp
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved: