How CMS changes will drive better patient outcomes ???

On January 17, 2024, The Centers for Medicare & Medicaid Services (CMS) finalized a rule to advance interoperability and improve prior authorization.

The final rule largely resembles its proposed form with some key additions:

• The implementation deadline for FHIR-based APIs is now January 2027
• Enforcement of HIPAA X12 278 standard for interoperability APIs
• A publishing deadline for the first prior authorization metrics
• Additional components of necessary APIs
• An exception to turnaround time requirements (TAT)

Having served as senior advisor to former CMS Administrator Seema Verma, I’m excited to see CMS leading the charge in prior authorization reform.

The focus on regulatory compliance is kicking off an exciting new chapter and setting the stage for greater change in healthcare.

Download this report to see more about the final rule, and learn how intelligent prior authorization can help usher your organization into this new era.

1. CMS Finalizes Rule to Expand Access to Health Information and Improve the Prior Authorization Process ??
2. Four things you need to know about the final CMS rule ??

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