Comply with the CMS e-Notification Condition of Participation requirement by April 30, 2021


Countdown to Compliance:








Fast Facts

Who does this affect?

Medicare and Medicaid participating hospitals, including psychiatric hospitals and Critical Access Hospitals.

What is the requirement?

Admit, Discharge, and Transfer (ADT) notifications for treatment, care coordination, or quality improvement purposes must be sent following Inpatient, Emergency Department, and Observation visits to ensure a ‘reasonable effort’ was made to send electronic notifications to providers, SNFs, and other suppliers at either the provider’s or patient’s request.

How do I meet compliance?

Audacious Inquiry’s cloud-based, SaaS platform provides a CoP solution that leverages ADT data and enables the transfer of electronic notifications at the point of care. CMS CoP compliance is assured through workflows and processes supporting the ability to share medical records when requested. Additionally, the solution provides reports specifying critical metrics for compliance both in reaching initial compliance and for maintaining compliance. With over a decade of proven practice in health information technology and policy expertise combined with our industry-leading real-time encounter notifications technology, this team of interoperability experts will take the burden off your IT staff to meet compliance. Let’s talk!

Why Audacious Inquiry?

Since 2012, Audacious Inquiry has delivered ADT-based notifications throughout the country.

Patients Subscribed

Subscribing Organizations

Notifications per Month

Data Senders

Experience Matters

Ai is the leading encounter notification provider in the country; delivering over 30 million notifications per month to subscribers from over 20 percent of connected hospital beds across the country. Our many years of experience as data quality experts have taught us how to connect to any ADT data source. We have the flexibility to deliver notifications in a multitude of ways to providers and accountable care organizations to maximize workflow impact. Hospitals rely and trust in our technology and experience every day to deliver compliant notifications all over the country.

Trusted & Secure

Ai is certified by the leading standards organization, Health Information Trust Alliance (HITRUST). Ai takes the privacy and security of the sensitive data entrusted to us very seriously. Cybersecurity threats are constantly evolving, so we work diligently to continuously improve and advance our privacy and security protocols to ensure the safety of our customers’ information.

Added Value

CMS’ CoP compliance is just one of the many capabilities we support.
Our platform also helps organizations:

Ensure the seamless flow of health data

Ai supports compliance with ONC’s information blocking rule so patients, health plans, and providers can attain transparency and better communication.

Support value-based care

Having access to health data helps improve care outcomes, patient and member experiences, and drive down the total cost of care.

Enable smooth transitions of care

Hospitals leverage our connected care platform to assist with discharge planning and care teams benefit from enhanced care coordination management.



Receive comprehensive data that’s actionable

We deliver condition specific SmartAlerts containing clinical data or lab results in a variety of formats to the appropriate care providers.

Capture Transitional Care Management (TCM) revenue

Optimizes financial performance by enhancing the TCM capture rate through real-time discharge notifications, allowing timely follow-up and reduced readmissions.

Reduce patient leakage

When patients seek care outside of their hospital network, it makes it difficult for providers to track and support patient outcomes. By proactively identifying patient leakage, this provides an opportunity to intervene and provide care within network.



“I can be very confident that our members will meet CoP compliance because our partners at Audacious Inquiry are experts in the field, and they have supported our members with ADT-based notifications for the past eight years.”

-Craig Behm, Maryland Executive Director

“Audacious Inquiry’s team has both the level of expertise in policy through their work with ONC and CMS, and the ability to deliver their technical solutions in a rapid, secure, and scalable way. With Ai as a partner, THA’s members are set up for success to meet CMS’ new CoP regulation.”

-Bryan Metzger, Sr Vice President – Information Services

“Ai has been a tremendous partner in finding ways to support GA Notify, but also GHA’s overall data program and data strategy. CoP compliance is just another example of this.”

-Bill Wylie, Sr. Vice President – Business Operations

Conditions of Participation Resources

ONC Cures Act Final Rule Summary

ONC Cures Act Final Rule Summary

ONC’s Cures Act Final Rule fosters innovation in healthcare to advance patients’ control of their health records, promotes a modern app economy, and defines exceptions to information blocking. On March 9th, 2020, ONC released its Cures Act Final Rule and it was published in the Federal Register...

read more
CMS Interoperability and Patient Access Final Rule

CMS Interoperability and Patient Access Final Rule

CMS’s final rule expands patient access to their health information and requires hospitals to alert community providers when one of their patients is admitted, transferred, or discharged. CMS under Administrator Verma has honed in on improving interoperability with a strong focus on easing...

read more

Learn how Ai’s solutions can support your CMS Interoperability and Patient Access Rule CoP compliance

A member of our helpful team will contact you to schedule a demo and answer your questions.