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CMS Proposed Rule Would Leverage Technology and Interoperability to Improve Prior Authorization | Groom Law Group, Chartered

On Tuesday, December 13, the Centers for Medicare & Medicaid Services (โ€œCMSโ€) released a proposed rule (โ€œNew Proposed Ruleโ€) to improve the prior authorization process and advance...
United States Centers For Medicare Medicaid Services Exchange Framework Groom Law Group Health Level Medicaid Services

10 Things Providers Should Know About California's Data Exchange Framework | McDermott Will & Emery

By January 31, 2023, general acute care hospitals, clinical labs and certain physician organizations and medical groups in California are required to enter into the Single Data Sharing...
United States Participants Are Required To Exchange Services Information Health Information Dxf Requires Health Information Exchange Beyond California Health

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CMS Proposes Rule to Require Certain Health Plans to Electronically Share Data with Providers Regarding Prior Authorization Requests | King & Spalding

On December 13, 2022, CMS is set to publish in the Federal Register a proposed rule (Proposed Rule) requiring certain Medicare, Medicaid, Childrenโ€™s Health Insurance Program, and...
Medicare Promoting Interoperability Program Exchange Framework Children Health Insurance Program Health Plan Health Level Federal Register

CMS releases Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule

In a newly proposed rule, the Centers for Medicare and Medicaid Services is changing prior authorization standards to speed up the time it takes for payers to approve the requests and is implementing HL7 FHIR standards to support an electronic process. CMS is proposing to require certain payers, including Medicare Advantage organizations, to implement electronic prior
United States Matt Eyles Ashley Thompson Tochi Iroku Malize Erik Isakson Getty Mary Beth Donahue

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