Ahead of a final rule that would limit the amount of time insurers have to approve prior authorization requests and would require an electronic, FHIR API standard, UnitedHealth Group on Wednesday said it would reduce the use of its prior authorization process by 20% for some nonurgent surgeries and procedures. Starting this summer, hospitals and physicians will get coverage
The Centers for Medicare and Medicaid Services outlined changes that will be made to speed up and align the prior authorization process across all payers, during a press call on Tuesday. CMS released the proposed rule on expanding access to health information and improving the prior authorization process on December 6. One reason for implementing the changes is physician and
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