The Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule (CMS-0057-F) sets a new standard for how payers exchange data and respond to authorization ...
Last week, the Centers for Medicaid and Medicare Services (CMS) announced the long-awaited proposed guidelines for Stage 3 of Meaningful Use requirements for electronic health records. On the same day ...
The CMS is once again tackling prior authorization in its new rule proposed Tuesday. Prior authorization, a process in which a physician must get the green light from an insurer for medication or ...
Beginning Jan. 1, 2027, payers must implement and maintain a Provider Access API to share patient data with in-network providers. The API must make available individual claims and encounter data, data ...
A large portion of payers and providers have not started or are partially through implementing CMS API requirements, with compliance due by January 1, 2027. Key challenges include funding, developing ...
A woman walks under a sign of big data analytics Palantir at their stand ahead of the World Economic Forum (WEF) annual meeting in Davos on May 22, 2022. (Photo by FABRICE COFFRINI/AFP via Getty ...
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