Between now and April 30th, 2021, hospitals, psychiatric hospitals, and Critical Access Hospitals must share electronic Admission, Discharge, Transfer (ADT) based event notifications (e-notifications) with other providers in order to comply with Centers for Medicare and Medicaid Services’ (CMS’) Interoperability and Patient Access Rule.


Countdown to CoP (picture of a man looking at a checklist)


CMS’ Conditions of Participation compliance could be challenging in the limited time remaining, there’s good news. If your organization is in a state where Audacious Inquiry’s industry-leading real-time encounter notifications technology is available, you can take the fast track to compliance without having to sacrifice quality or security.

Audacious Inquiry supports the exchange of real-time ADT data sharing services, which can be accessed through regional health information organizations (HIOs), Medicaid Agencies, or Hospital Associations in Maryland, Washington D.C., Delaware, Pennsylvania, West Virginia, Tennessee, North Carolina, Georgia, Florida, Louisiana, Texas, Minnesota, California, and Alaska.

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Take our compliance assessment to find out if your organization is on track to comply with the CMS Conditions of Participation. 


By leveraging Audacious Inquiry’s services as an intermediary to support Conditions of Participation compliance, your organization will:


  • Benefit from streamlined data governance – Far too often health systems operate in siloes with disparate data sources that prevent health entities from accessing the information they need to deliver top-notch patient care. Audacious Inquiry is entrusted to provide a secure governance structure that ensures everyone is playing by the same rules to manage data. This setup is vetted by all participating organizations upfront, so health systems, skilled nursing facilities, and long-term health facilities understand how their data can be accessed.
  • Access a cost-effective solution – Since 2012 Audacious Inquiry’s Encounter Notification Service® (ENS®) has helped thousands of providers and health plans reduce the total cost of care by improving health outcomes. Some of our partners are providing access to ENS’ service at no additional cost to help all hospitals meet Conditions of Participation compliance. Contact us to find out if this offering is available in your area.
  • Reduce time to value – Time is of the essence to meet Conditions of Participation compliance, and Audacious Inquiry has proven experience building dense, high-quality networks in a limited timeframe. A few examples of rapid implementations include:
      • Florida Health Information Exchange (FLHIE) – onboarded 206 hospitals in nine months.
      • Tennessee Hospital Association’s (THA’s) ConnecTN Program – onboarded 100 hospitals in nine months.
      • HealthShare Exchange (HSX) – onboarded 50 hospitals in six months.


Can organizations outside of ENS’ network still partner with Audacious Inquiry to comply with the Conditions of Participation? 

Of course! Whether you are a hospital association, health information exchange, or an integrated delivery network that operates in a few or many states, let’s talk about a solution that will support the hospitals you serve.


First steps to meeting compliance: Gauge where your organization stands.

Take the Conditions of Participation Readiness Assessment

By taking the CoP Readiness Assessment, you will be able to find out if your organization is positioned to comply with the Conditions of Participation requirements or how far you need to go in order to meet compliance. In addition, you will receive recommendations for next steps.

To view the CMS Interoperability and Patient Access final rule, visit