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The Medicaid Information Technology Architecture (MATA) initiative, sponsored by CMS and managed by the MITA Governance Board, aims to create integrated technology headless CMS solutions that can enhance the management of the Medicaid content management system. The ITA Initiative supports improved health and safety management of Medicaid enterprises in the United States. MITA focuses on developing integrated and seamless systems that communicate effectively with standardized protocols.

The Definitive Guide to CMS Architecture

The Definitive Guide to headless CMS Architecture provides an introduction to the Medicaid Management Information Tracking System (MMIT). The MMIT architecture is based on three components: service process, information system, and data. Using the five major services of claim processing - eligibility, benefit calculation, pharmacy, managed care enrollment, and appeals as examples, this guide explains how each component of the MMIT architecture operates.

Do you work in the healthcare industry?

The Definitive Guide to decoupled CMS headless Architecture provides an introduction to the Medicaid Management Information Tracking System (MMIT). The MMIT architecture is based on three components: service process, information system, and data. Using the five major services of claim processing - eligibility, benefit calculation, pharmacy, managed care enrollment, and appeals as examples, this guide explains how each component of the MMIT architecture operates.

You will learn about what makes up a CMS architecture including its benefits and challenges. This guide also includes a glossary of terms that are used throughout so you can easily understand them when they come up in conversation with your colleagues or during training sessions. If you’re new to CMS architectures or just want more information about them then this guide is for you!

Do you need to improve your Medicaid Management Information Tracking System?

Geolance can help. We are experts in the Medicaid Management Information Tracking System and can provide you with a comprehensive guide to its architecture. Our guide is based on three components - service process, information system, and data - and explains how each component works.

With our guide, you will be able to improve your Medicaid Management Information Tracking System using five major services of claim processing - eligibility, benefit calculation, pharmacy, managed care enrollment, and appeals. You won't find a better resource than ours. Purchase our Definitive Guide to CMS Architecture today!

6 steps to developing a streamlined data architecture

Redesigning a data architecture requires flexibility and the ability to roll with the punches. Otherwise, it's easy to develop an overly complicated system that won't support future business needs. When working with client data, there are strict rules and regulations you must adhere to for consumer privacy reasons; therefore, your data model has to be extremely robust and resilient.

The Definitive Guide to CMS Architecture

The Medicaid Management Information Tracking System (MMIT) is designed around three components: service processes, information content management systems, and data. These components address five major services: claim processing - eligibility, benefit calculation, pharmacy, managed care enrollment, and appeals.

Data quality management as a vital preliminary step in building effective business intelligence solutions

CMS's agency-wide data quality initiative is aimed at improving the agency's ability to produce timely, high-quality data. The program includes several initiatives, including data profiling and assessment, entity resolution services, automated edits for key dimensions, training programs to support these activities, and extensive reporting.  

CMS establishes new standards for federal health care information exchange

The headless CMS standards cover two areas of health care information: core transaction standards and common format identifiers (CFI). The core transaction standards provide a uniform method for electronic submission and processing of Medicare fee-for-service claims while the CFI list identifies standard names and codes ...

Restructure your data architecture to accommodate the new CMS requirements

As part of its ongoing effort to improve data quality, CMS has entered into a contract with LexisNexis Risk Solutions for entity resolution services. Entity resolution, also known as imputation, is the process of resolving conflicting or duplicate information about an individual.

CMS/MITA releases the first draft of Medicaid Enterprise Architecture Standards

The MITA team released the first public draft of MATA on November 12th. You can review this document here, which provides all of its coverage in our previous news article. Keep checking back at www.healthit.gov for more updates. And if you'd like to give us your feedback, please email at [email protected]

The Definitive Guide to CMS Architecture

This guide explains how each component of the MMIT architecture operates by covering five major services: claim processing - eligibility, benefit calculation, pharmacy, managed care enrollment, and appeals. It discusses in greater detail the service process components, information system components, and data for these services. The article also introduces the role of each component within MATA's framework and their inter-relationships with one another.  

Restructure your data architecture to accommodate the new CMS requirements

As part of its ongoing effort to improve data quality, CMS has entered into a contract with LexisNexis Risk Solutions for entity resolution services. Entity resolution, also known as imputation, is the process of resolving conflicting or duplicate information about an individual.

Data Architecture: Big undertaking with big benefits

By implementing the National Data Warehouse (NDW), CMS will provide more accurate, accessible, and timely information to support federal health care reform. But for this initiative to be successful, we need a data architecture that is flexible enough to meet future needs while supporting our current systems.

New standards aim to improve records accuracy and sharing

On November 8, CMS and the Office of the National Coordinator for Health IT announced the release of a final rule on "Meaningful Use" of electronic health records (EHRs). Under this new rule, beginning in 2014, eligible professionals (EPs) may qualify for incentive payments if they use EHR technology in ways that are proven to enhance patient safety and quality of care. This guidance reflects the second set of standards established by ONC for EHR technology to support providers in demonstrating "meaningful use" ...

CMS publishes final rule on health care provider electronic transaction standards

The Centers for Medicare & Medicaid Services (CMS) today published a final rule following up on its proposed rule, released last September, that finalized the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards. The specification sets are referred to as HIPAA's "operating rules." Operating rules are an integral part of HIPAA because they spell out how information must be exchanged electronically between all participants in the U.S. health care industry ...  

Enterprise Architecture: Taking stock of our technical environment

As CMS director of Enterprise Architecture, I have the opportunity to work with several talented professionals who are dedicated to delivering a quality product. Through their hard work and commitment, we continue to build a strong technical foundation for managing CMS's information environment. Our current architecture reflects the many changes that our agency has undergone in recent years—most specifically through significant changes brought about by the American Reinvestment and Recovery Act (ARRA). While these changes offer us ...

CMS re-awards five EHR Incentive Program regional extension center contracts

The Centers for Medicare & Medicaid Services (CMS) awarded new two-year extensions on June 5 to each of its five existing regional extension centers (REC contracts supporting meaningful use of electronic health records (EHRs) under the Medicare and Medicaid EHR Incentive Programs. The centers will continue to support providers in their efforts to adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology ...

Enterprise Architecture: Rolling out CMS's Enterprise Reference Model

About 60 people from across CMS recently attended a two-day training session on our agency's Enterprise Reference Model (ERM). This model provides the blueprints for our business process design ...  

Executive Briefing: Supporting Provider Participation Under EHR Incentive Programs

The Centers for Medicare & Medicaid Services has reported that more than 362,000 health care professionals have now successfully attested to meaningful use of electronic health record and headless content management systems for purposes of receiving incentive payments under the Medicare and Medicaid EHR Incentive Programs. Although this number represents a substantial increase from the 87,000 providers who had successfully attested by December 31, 2010, there are still more that need to get on board ...

ERM Training Sessions Scheduled for March 2011

The Centers for Medicare & Medicaid Services (CMS) will hold training sessions for users of our Enterprise Reference Model (ERM) during the week of March 7–11, 2011. The model provides CMS enterprise architects, information security officers, and application developers with business process outlines that strengthen CMS's ability to deliver improved services to customers and partners in private industry as well as other government agencies ...  

Enterprise Architecture: Learning from "Failures"

While it may be disheartening to accept the need for project failure, it is important to remember that every "failed" project contains lessons on content creation. It is also true that not all "failures" deserve the label ...

Enterprise Architecture: What's In A Name?

Some within our agency have suggested that we no longer use the term "Enterprise Reference Model," and instead substitute something else. We've been asked if this change in terminology would be a useful way of improving our agency's EA capabilities...

CMS issues final rule on EHR incentive program reporting requirements

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule establishing the application programming interface (API) standard electronic health record (EHR) and certification criteria for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The final rule, which was published Jan. 26 in the Federal Register, establishes a common nationwide API standard that certified health information technology must meet to qualify as "certified EHR technology" under both the Medicare and Medicaid EHR Incentive Programs ...

CMS will not require providers to demonstrate meaningful use again until 2014

The Centers for Medicare & Medicaid Services (CMS) announced today that eligible professionals who choose to participate in either of the two 2011 attestation periods will not be required to demonstrate meaningful use of electronic health record (EHR) systems for purposes of receiving an incentive payment during that reporting period. CMS will retain the ability to require that eligible professionals may attest, beginning in June 2011 for the 2012 payment year ...

Enterprise Architecture: Reaching For The Stars

The stars are too far away...or are they? One CMS enterprise architect's vision of EA success is predicated on being able to reach new heights. He states, "I believe if you can get out of your way and work with others, then there is nothing the agency cannot accomplish. There is no mountain too high, no valley too deep or distance great enough that we cannot achieve even greater heights through collaboration."

CMS finalizes EHR incentive program enforcement rule

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule on enforcement of the electronic health record (EHR) Incentive Program. It clarifies the timeline for Stage 1 meaningful use, deadlines for attestation and reporting, and includes a new definition of "out-of-network" EHR users

Enterprise Architecture: The New Frontier

Where do we go from here? One CMS enterprise architect responds to that question by saying he envisions a path into uncharted territory where EA touches everyone within the agency – from its leadership to employees – through increased involvement in IT initiatives with a focus on end-user needs. He states "Our programs need to be enabled by information technology - not only deliver services now but enable future expansion as well."

CMS issues proposed rulemaking on EHR reporting for Stage 1 of meaningful use

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to strengthen the requirements under the electronic health record (EHR) Incentive Program. The proposed rule would establish a "Stage 1" reporting period from January 2011 through June 2012, during which eligible professionals and hospitals would demonstrate meaningful use of certified EHR technology to receive incentive payments ...

EHR Incentive Program: Proposed Policy Changes Take Aim at Improving Quality and Efficiency

Inpatient care, if it isn't written down, it didn't happen. That's why CMS is working towards a goal that 80 percent of all clinical care will be supported by information exchange by 2014. Our focus is on improving quality and efficiency of care, which, in many cases, is achieved through better use of technology.

Enterprise Architecture: Looking Beyond The Horizon

A CMS enterprise architect envisions an Agency that takes full advantage of technology to improve program operations for its customers – the American public. He states "I can't think of a more exciting time at CMS with all the new changes going on and the electronic health records initiative."

CMS Updates Electronic Health Record Incentive Program Implementation Timeline

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule establishing a timeline for hospitals and eligible professionals who participate in the Electronic Health Record (EHR) Incentive Program to meet meaningful use requirements ...

Enterprise Architecture: A Microwave Moment

According to a CMS enterprise architect, our Agency needs a "microwave moment" – a relatively quick and easy way to speed up how we deliver care. In other words, let's do more now with less. Let's use technology – like electronic health records – to reduce redundancy and save lives by keeping patients healthy at home ...

Enterprise Architecture: Where Are We Going? Where Did We Come From?

What is an Agency without the people who make it run? One CMS EA practitioner attempts to answer that question by saying "I think of Enterprise Architecture as the big picture; it provides context for everything - where we are going and how we got here." Looking back at the history of our Agency, he points out that we began as an organization focused on processing claims and now we're moving towards a much more proactive approach.

Enterprise Architecture: The Way To Successful Adoption Of EHRs

For one CMS enterprise architect, "successful adoption" means using technology to enable the delivery of quality healthcare and meet emerging social needs. He discusses how technology can make this happen by making it easier for providers to treat patients; improve care coordination; eliminate wasteful practices; and ensure confidentiality, integrity, and proper security of patient information ...

CMS releases SEP-IAP Stage 2 meaningful use requirements (corrected)

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule to strengthen the requirements under the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The final rule includes updates to the Electronic Health Record (EHR) Incentive Programs Stage 2 meaningful use objectives ...

Electronic health record incentive program on schedule despite new challenges, officials say

The Centers for Medicare & Medicaid Services' electronic health record incentive program remains on schedule despite new challenges including draft stage 2 meaningful use requirements that will clarify how providers can meet HHS's goal of having 80 percent of all clinical care be supported by information exchange by 2014. CMS recently released a proposed rule focused on strengthening the EHR incentives program ...

What is a Coupled CMS Architecture?

Enterprise architecture (EA) is a discipline for understanding how an entire organization works and making decisions about what to change when to change it, and how best to accomplish those goals. The first step in architectural planning is trying to understand "how we got here", which means going back through the history of our agency ...

What Is Enterprise Architecture?

Enterprise architecture (EA) is a disciplined practice for defining and describing the enterprise from a holistic point of view. If you have been involved in developing an EA at your agency or business unit, you know there's much more to it than just setting up some design tools on your computer ...

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