Strategy to Execution:
    Better Prior Authorization by Integrating Operations, FHIR and CMS-0057

    April 22 - 24, 2025 EDT | Virtual Event

    Register Now

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    Are you looking to fast-track your efforts to use HL7 FHIR APIs to automate workflow, maximize efficiency and meet federal requirements of the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F)? 

    A virtual, hands-on training and testing event will be held on April 22-24, 2025, presented by HL7 Da Vinci Project, the private sector initiative that created the standards transforming payer data exchange and prior authorization decision turnaround time.

    Sponsors

    Cohere-Health-logo
    edifecs logo primary
    Nucural logo with name
    SMILE
    LotsofPeopleLarge

    Who should attend and why?

    The session will benefit executives, managers, analysts and technical staff from provider, payer and vendor organizations. In addition to learning the benefits and strategic value of implementation, participants will gain the core knowledge necessary to implement the FHIR implementation guides identified in the Final Rule, specifically those for prior authorization, payer data exchange and provider access APIs. Content is provided directly by implementers and implementation guide authors who bring real-world experience and will help you: 

    • Discover what you need to know from a business or technical perspective as you embark on your implementation journey and identify the critical questions you should be asking

    • Learn about key considerations when planning your implementation strategy, supporting ensuring a smooth and effective process

    • Identify real-world success stories, including the challenges and lessons learned along the way

    • Explore various approaches to scalability and the market options available to enhance your implementation efforts

    • Understand how to bring the technical components together for successful and scalable implementation

    • Identify resources to aid your implementation efforts, including how to jumpstart your matchmaking for finding partners through participation in testing events

    Both Da Vinci and HL7 members qualify for the member discounted registration rate. For those Da Vinci members that are not HL7 Members, please email us at meetings@HL7.org and we will provide you with a coupon code that allows you to receive the Membership rates during registration.

    landing_education_conferenceEducation

    What does the event cover?

    Join us for two days of interactive content delivery and demonstrations, followed by a collaborative testing event on day three that provides implementers and developers with the opportunity to test FHIR-based solutions and exchange data with other FHIR interfaces.  Three tracks are offered, including a one-day business track, a two-day Payer Data Exchange Technical Track, and a two-day Burden Reduction Technical Track.

    To maximize your experience and advance your implementation, additional educational offerings covering core FHIR technologies and implementation guides referenced in CMS-0057-F are available online at https://info.hl7.org/da-vinci-subscription

    Agenda at a Glance

    View the Full Schedule (agenda is subject to change)

    Tuesday, April 22, 2025
    General Sessions

    10:00 AM ET

    Welcome / Opening Remarks

    10:15 AM ET

    Harnessing Da Vinci Implementation Guides to Meet CMS-0057: Success Stories and Strategic Insights

    11:25 AM ET

    Break

    11:30 AM ET

    Unlocking Strategic Opportunities: ROI of Automation with FHIR in Healthcare

    12:30 PM ET

    Lunch

    12:45 PM ET

     Product Demonstrations

    1:45 PM ET  

    Transition Break

     

     Breakout Sessions
      Business Track Burden Reduction Technical Track Payer Data Exchange Technical Track

    2:00 PM ET

    Empowering Your Implementation: Essential Tools and Resources for Successful Piloting

    FHIR-Based Prior Authorization Workflows: Differences from Historical Approaches

    Benefits to Patients of Enabling Data Exchange from Prior Plans

    2:50 PM ET

    Break

    Break

    Break

    3:00 PM ET

    Learning from the Trailblazers: Insights from Implementation Experts: PDex 

    Burden Reduction: Approach for Achieving Conformance

    Matching Members for Payer-to-Payer Exchange

    3:50 PM ET

    Break

    Break

    Break

    4:00 PM ET

    Learning from the Trailblazers: Insights from Implementation Experts: Burden Reduction 

    Burden Reduction: Performance Optimization Strategies

    Reliable Questionnaire Population

    Establishing Treatment Relationships for the Provider Access API
     
    Wednesday, April 23, 2025
     Breakout Sessions
      Burden Reduction Technical Track Payer Data Exchange Technical Track

    10:00 AM ET

    Welcome / Day 2 Opening Remarks

    Welcome / Day 2 Opening Remarks

    10:15 AM ET

    What the Enforcement Discretion Means

    Patient Access API – What’s changed?

    11:00 AM ET

    Burden Reduction: Benefits Beyond Compliance

    Provenance: What's the Story Behind the Data?

    11:45 AM ET

    Burden Reduction Open Forum

    Payer Data Exchange Open Forum

     

    General Sessions

    12:30 PM ET

    Lunch / Transition Break

    12:45 PM ET

    Product Demonstrations

    1:45 PM ET

    Secure Access at Scale

    2:30 PM ET

    Prior Authorization in the Patient Access API

    3:00 PM ET

    Break

    3:15 PM ET

    Terminology Translation: Mapping Clinical and Administrative Codes

    4:00 PM ET

    Burden Reduction and Patient Access API Metrics

    4:45 PM ET

    Wrap Up / Closing Remarks

     

    Thursday, April 24, 2025

    Connectathon (10:00 AM – 5:00 PM ET)

    •  Burden Reduction Testing Track – including Clinical Data Exchange (CDex)
    •  Payer Data Exchange Testing Track – including Member Attribution

     

     

    Interested in becoming a sponsor of
    this Da Vinci Project event? 

    Download Sponsorship Packet