CMS' New Tool for Exchanging Healthcare Documentation - Healthcare Information Handler

Recently, CMS updated how providers submit documentation to the Medicare Administrative Contractor (MAC), or other contractors. It is called the Health Information Handler (HIH), and it is hosted on CMS’ Amazon Web Services (AWS) environment.

There is no cost to providers submitting directly to CMS, regardless of the number of transactions sent monthly. HIH meets all security and privacy requirements, and there is no Information Technology (IT) expertise required.

Providers still have the option to contract with an HIH through their existing Gateway services, or they can build a gateway of their own (and sign up as an HIH).

Providers and suppliers can use for:

  • Prior authorization requests and supporting documentation for Parts A/B and DME
  • Paperwork (PWK) documentation for claims
  • First and second level appeal requests
  • Advanced Determination of Medicare Coverage Requests (ADMC)
  • Durable Medical Equipment (DME) phone discussion requests

Resources:

CMS Health Information Handler

CMS esMD for Health Information Handlers (HIH) - Getting Started and Frequently Asked Questions (FAQ’s)

 

Last Updated Dec 04 , 2023