The CMS' Advancing Interoperability and Improving Prior Authorization proposed rule

The Centers for Medicare and Medicaid Services (CMS) has proposed new rules to enhance healthcare interoperability and streamline prior authorization. The regulations aim to:

Improve data sharing via FHIR APIs, allowing access to prior authorization info
Mandate timely documentation on prior authorization decisions
Establish a standard FHIR Payer-to-Payer Data Exchange for better health record portability
Introduce electronic prior authorization measures for CMS program participants

These changes will impact payers and providers. Technical and policy professionals should engage leadership to ensure compliance. Read the full white paper to prepare for CMS' proposed rule.

Vendor:: ZeOmega
Posted:: Feb 13, 2025
Published:: Feb 14, 2025
Format:: PDF
Type:: White Paper

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