Audacious Inquiry’s Encounter Notification Service ensures compliance with the CoP requirement


Since 2013, Ai has worked with you, our partners, to deliver real-time patient encounter notifications to primary care providers, care managers, social workers, payers and others accountable for improving patients’ well-being and health.  In that time, encounter notifications have become the critical infrastructure to the care models and programs that are successfully transitioning our healthcare system towards one of value.

CMS has rightfully chosen to accelerate the adoption of this very important capability, such that it may be extended across the nation. We are thankful to have played a role with you to develop the technology, maximize its impact, and are excited to continue the march forward.

This new CMS Condition of Participation (CoP), set to go into effect in May 2021, requires Medicare and Medicaid participating hospitals -including psychiatric hospitals and Critical Access Hospitals- to send notifications to Primary Care Physicians (PCPs), Skilled Nursing Facilities (SNFs), and other suppliers of a patient’s admission, discharge or transfer events for Inpatient, Emergency Department, and Observation visits.

Importantly, hospitals may use an intermediary, for example, a health information exchange, hospital association, state health departments, or other organizations providing such a service, to ensure compliance with the CoP requirement. The Encounter Notification Service® is incredibly well-positioned to meet both the regulation as well as its spirit, ensuring that a patient’s care is truly coordinated across an incredibly complex ecosystem of healthcare.


Access this resource for more information: CMS Interoperability and Patient Access Final Rule Summary

For questions related to rule/policy specifics, please contact Kory Mertz.



Kory Mertz
As the Director of Policy at Ai, Mr. Mertz is a subject matter expert in state and federal health IT policy, interoperability, Meaningful Use and the Quality Payment Programs.  He is experienced at interpreting federal regulation and programs, including Meaningful Use and the Quality Payment Program, and translating that knowledge into actionable steps and strategies for clients.