The industry's move toward health information exchange across disparate entities presents a number of challenges for financial and administrative information systems, says Henry Chao, chief technology officer at the Centers for Medicare and Medicaid Services.

He gave examples of such challenges during the Financial Systems Symposium at the HIMSS 2010 Conference & Exhibition in Atlanta. A physician may order a radiological exam, read and interpret the images and receive reimbursement. But what happens when an authorized provider elsewhere access the images via an HIE and reads them, "and does that person get reimbursed?" Chao asked.

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