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The Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, “Advancing Interoperability and Improving Prior Authorization Processes” (the “Proposed Rule”), that is...
Centers for Medicare and Medicaid Services CMS issued proposed rule, Advancing Interoperability and Improving Prior Authorization Processes, to improve patient, provider access to health information, streamline processes for prior authorization for medical items, services.
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
Physician and medical groups view rule as 'positive step forward'