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In-depth guides, tutorials, and best practices for database design, data architecture, and healthcare data modeling.
Showing 25–30 of 71 posts
SOC 2 Type II is increasingly a vendor requirement and a customer expectation for healthcare data platforms. Here is what engineers need to implement — beyond what the auditors tell you.
HEDIS measure calculation is deceptively complex. NCQA technical specifications are hundreds of pages long, source data comes from four different systems, and one logic error can affect thousands of members. Here is how to build a pipeline that holds up to NCQA audit.
The 21st Century Cures Act is not just a compliance checkbox — it mandates specific technical capabilities around open APIs, information blocking prohibition, and patient data access. Here is what your data architecture must deliver.
TEFCA is now operational. Qualified Health Information Networks are live. If your health system or payer is not actively planning TEFCA participation, you are behind. Here is what the architecture requires.
CMS-9115-F and its successors are not just policy — they are architectural requirements. Patient Access API, Provider Directory API, payer-to-payer exchange, and prior auth APIs each require specific technical capabilities your data team must build.
Prior authorization is one of the most operationally complex workflows in healthcare — and one of the most data-intensive. Here is the end-to-end data model, from PA request through appeal.
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