Details
August 13, 2025
3:00PM - 4:00PM
Opportunities to Enhance Real-Time Claims Processing & EDI Cybersecurity Controls
CMS Listening Session
Webinar
As part of the Centers for Medicare & Medicaid Services (CMS) 2025 priorities, we are holding a listening session to gather feedback from our industry partners to gather innovative ideas and opportunities for real-time claims processing. We are also looking to improve Medicare’s Electronic Data Interchange (EDI) cybersecurity controls which support the security and integrity of electronic transactions physicians, suppliers and other providers use to submit Medicare Part A and Part B claims.
We invite you to participate in the CMS Listening Session scheduled for August 13, 2025 at 3:00 pm ET. CMS is interested in obtaining our partners’ feedback based on your experiences with other insurers regarding real-time claims processing integration and solutions in the industry (e.g. revenue cycle health, denials, rejections, appeals, reimbursement time frames).
CMS also wants to hear your feedback to improve and enhance CMS processes related to Strengthening Medicare’s EDI cybersecurity controls to better protect the integrity and availability of information systems involved in processing Medicare claims as well as the security and privacy of the sensitive beneficiary data being exchanged.
In both topics of interest, CMS would like to specifically hear your thoughts and ideas regarding:
- Harnessing technology such as artificial intelligence and other tools for claims processing, automation, prior authorization, anfd payment
- Self-service transactions (e.g. website/portal/interactive voice response unit)
- Your experience with Medicare in relation to or compared with other payers with regard to claims processing timeframes, speed of payments, access to tools and resources in the event of disruptions to your billing operations, and related topics that are important to your revenue cycle management.
- Any operational, organizational, financial or regulatory challenges you have experienced related to real-time claims processing.
CMS wants to hear from you!
You may email comments/questions in advance of the listening session to cmslistens@cms.hhs.gov with“Real-Time Claims & EDI Cybersecurity” in the subject line. We may address them during the listening session or use them to develop other resources following the session.
