Elevating Government Healthcare with Advanced Interoperability Solutions
Innovating for Impact – Transforming Government Healthcare through Excellence in Interoperability, Compliance, and Digital Advancement
Empowering Government Healthcare Transformation: Mettle's Pioneering Achievements in Interoperability, Program Integrity, and Digital Modernization
Advancing Standards and Interoperability: Mettle successfully tackled data silos, advancing standards and interoperability across the healthcare sector. Implementing HL7 FHIR standards facilitated streamlined, secure, and compliant data exchange, enhancing claim adjudication efficiencies, simplifying the prior authorization process, and improving outcomes through digitized quality measures.
Strengthening Program Integrity: Focused on leveraging emerging technologies, Mettle has played a pivotal role in initiatives aimed at reducing improper payments, adhering to regulations and guidelines, enhancing payer compliance and reviews, and combating fraud, waste, and abuse, thereby strengthening program integrity.
Reducing Administrative and Provider Burden: Through efforts to make documentation requirements more accessible and support the Patients over Paperwork initiative, Mettle has significantly contributed to adopting standards that push forward administrative simplification, effectively reducing the burden across the healthcare ecosystem.
Modernization through Digital Transformation: Emphasizing the productionization of interoperability standards, Mettle has led the way in enhancing adoption through stakeholder inclusiveness, collaboration, outreach, education, and pilots, driving modernization through digital transformation.
Consistent and Continued ‘Exceptional’ Performance Feedback: By embracing the Digital Services Playbook and continuously improving with value-driven focused best practices in contract deliverables, Mettle highlights the commitment to excellence and innovation in government healthcare IT solutions.
Mettle Solutions: Driving Forward with Cutting-Edge Interoperability as a Trusted Partner in Government Healthcare IT Solutions
Our commitment to excellence is reflected in our ‘Exceptional’ performances in all projects, delivering cost-effective solutions to government agencies, Empowering Data Exchange, Enhancing Interoperability, Ensuring Compliance, and Advancing Digital Healthcare Transformation.
Electronic Submission of Medical Documentation (esMD)
Mettle has significantly enhanced CMS's esMD program, reducing improper payments and streamlining documentation exchange, demonstrating our commitment to improving government efficiency, collaboration, and healthcare provider compliance since its inception in 2011.
Reference Implementation and Outreach Contractor (RIOC)
Mettle has pioneered the development and support of Health Information Exchange Gateway software for Health Information Handlers (HIHs) since 2017, facilitating seamless data exchange, minimizing paperwork, and advancing administrative simplification for CMS.
Special HIH Management and Support (SHMS) and maintenance of CMS-HIH
Mettle has innovatively developed and supported the CMS-HIH system since 2021, enhancing Medicare FFS with scalable, reliable, secure solutions and comprehensive user support, including management, education, maintenance, and operations for providers or vendors.
Documentation Request and Receipt FHIR Pilots (DRFP)
Mettle advanced CMS's transition from the past receiving only paper or unstructured documentation to also receiving structured documentation electronically through the DRFP contract, leveraging the HL7 FHIR DaVinci standards and thus earning the 2021 FedHealthIT Innovation Award.
FHIR Support for Prior Authorization and Documentation Exchange (SPADE)
Mettle significantly advanced CMS's FHIR-based APIs for Prior Authorization and documentation exchange under the SPADE contract, achieving general availability along with comprehensive compliance and thereby enhancing healthcare interoperability and efficiency.
Electronic Clinical Templates API (ECTA)
Mettle is revolutionizing healthcare through the ECTA contract by developing an FHIR-based open-source digitized rules library by fostering community involvement, enhancing interoperability, and reducing provider burden with API support for templates to be used by apps integrated within existing EHR systems.
Provider Compliance Group (PCG) - FHIR
Mettle is refining and evolving the FHIR platform, enhancing Medicare FFS interoperability with expanded APIs and comprehensive product management, promoting FHIR adoption for transparent data sharing and sets the stage for future collaboration under TEFCA, advancing healthcare interoperability.
Electronic Clinical Quality Measures (eCQM) Standards and Resource Center
In collaboration with partners, Mettle is pivotal in laying the groundwork for transitioning Value-Based Care clinical quality measures to Digital Quality Measurement, utilizing the HL7 FHIR DaVinci guides, fostering a future of enhanced healthcare interoperability.
Enhancements of the FHIR API Monitoring System - Lantern project
Mettle is enhancing the Lantern project for ONC, an open-source tool monitoring health IT systems' FHIR API endpoints, ensuring digital access to patient data by providing key insights into FHIR adoption and compliance, reporting conformance metrics and providing education.
Certifications and Contract Vehicles: Assurance of Quality and Reliability with Fair and Reasonable Pricing
Forge the Future with Mettle:
A Call to Innovators and Leaders for Partnerships
Mettle has distinguished itself as a leader in standards and interoperability within the healthcare sector, particularly through our significant collaborations with CMS and ONC, marking us as trailblazers in government healthcare IT solutions. Our expertise in modernizing healthcare through emerging technologies like FHIR and AI has positioned us at the forefront of program integrity initiatives, where our contributions are setting new benchmarks for efficiency and compliance.
Our work, especially in productionizing the HL7 FHIR DaVinci Implementation Guides, has not only demonstrated our commitment to advancing healthcare interoperability but has also earned us notable recognition at HL7 Connectathons, showcasing our solutions among the most impactful demonstrations. This expertise and dedication highlight Mettle’s unique niche in navigating the complexities of healthcare data exchange and ensuring seamless, standardized communication across the healthcare continuum.
As we continue to shape the future of healthcare IT, we seek partners and collaborators who are eager to explore the vast potential of interoperability and emerging technologies. Whether through current contracts or future opportunities, aligning with Mettle means joining a visionary journey towards redefining government healthcare with solutions that are at the cutting edge of technology and standards compliance.
We invite you to partner with us as we forge ahead, leveraging our deep-rooted expertise in FHIR, AI, and beyond to co-create solutions that address today’s challenges and anticipate tomorrow’s needs. Together, we can push the boundaries of what’s possible in healthcare, making a lasting impact on program integrity, patient care, and overall health system efficiency.
Connect with us today to discover how your collaboration with Mettle can drive innovation, transform government healthcare, and achieve milestones in interoperability and program integrity. Let’s lead the charge towards a more interconnected and intelligent healthcare ecosystem.
Government Solutions Spotlight:
Transforming Healthcare Through Innovation
HL7 FHIR: Lightening MFFS Provider Burden
Dive into how the HL7 FHIR implementations at CMS’s Medicare Fee-For-Service (MFFS) are dramatically reducing the administrative load on healthcare providers. This article explores the transformative power of FHIR standards in streamlining data exchange, enhancing patient care, and lightening the burden of compliance and reporting for providers.
Digital Transformation: Payer Coverage Rules
Explore the frontier of digital transformation in healthcare as payer coverage rules undergo a significant overhaul. This piece delves into how emerging technologies and standards are reshaping the way payers and providers interact, ensuring more transparent, efficient, and accurate coverage determinations that benefit the entire healthcare ecosystem.
Revamping CMS MFFS Documents Exchange
Discover the innovative strides taken to modernize the medical documentation exchange process within CMS’s Medicare Fee-For-Service (MFFS) program. Learn about the challenges faced, solutions implemented, and the profound impact on operational efficiency and healthcare delivery, marking a new era of digital documentation in government healthcare.
Lantern Project: FHIR APIs Monitoring at ONC
Uncover the significance of the Lantern project, an ONC initiative leveraging FHIR API monitoring to enhance healthcare interoperability. This article highlights how Lantern is setting standards for API performance, security, and reliability, providing unprecedented visibility into the health IT landscape and fostering a more connected healthcare future.
Voices of Excellence: What Our Government Partners Say About Mettle
Mettle’s leadership in managing complex healthcare IT projects has been unparalleled. Their ability to align diverse teams and navigate through challenges, all while maintaining transparency and accountability, sets a benchmark for excellence. Their team exceed expectations, ensuring projects stay on track and deliver on their promises.
The attention to detail and the relentless pursuit of quality by Mettle have been instrumental in transforming our healthcare IT landscape. Their dedication to adopting cutting-edge standards and interoperability solutions has resulted in high-quality outcomes that significantly improve healthcare delivery and access to information.
Mettle’s exceptional ability to deliver projects on schedule, even in the face of tight timelines and unforeseen challenges, is commendable. Their proactive approach to project management and problem-solving ensures that milestones are met, and goals are achieved, demonstrating their commitment to advancing digital healthcare transformation efficiently.