Payers are typically reticent to share these guidelines. Have they communicated a willingness to do so when using this IG? - PCDE #131

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    • Type: Question
    • Resolution: Considered - Question answered
    • Priority: Medium
    • US Da Vinci PCDE (FHIR)
    • STU3
    • Financial Mgmt
    • (profiles) [deprecated]
    • 2.5
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      This requirement is intended to be limited to publically available guidelines. We're not actually sharing the guideline, just a reference to the existing public definition it. We don't expect payer-specific non-public guidelines to be shared - though technically the specification allows for it if a payer chooses to.

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      This requirement is intended to be limited to publically available guidelines. We're not actually sharing the guideline, just a reference to the existing public definition it. We don't expect payer-specific non-public guidelines to be shared - though technically the specification allows for it if a payer chooses to.
    • Mark Scrimshire / Mary Kay McDaniel: 17-0-2

      Existing Wording: 3. guidelines that were used to evaluate the need for the care the patient is receiving,

      Comment:

      Payers are typically reticent to share these guidelines. Have they communicated a willingness to do so when using this IG?

      Summary:

      Payers are typically reticent to share these guidelines. Have they communicated a willingness to do so when using this IG?

            Assignee:
            Unassigned
            Reporter:
            Terrence Cunningham
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: