Tag: Prior Authorization Final Rule

Interoperability-and-Prior-Authorization

CMS released the CMS Interoperability and Prior Authorization final rule

CMS Interoperability and Prior Authorization Final Rule: On January 17, 2024, the Centers for Medicare and Medicaid Services (CMS) published the CMS Interoperability and Prior Authorization final rule (CMS-0057-F). The final rule aims to reduce the burden on patients, providers, and payers by consolidating the authorization process and moving the industry electronically. Affected payers must […]
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Streamlining Prior Authorization Final Rule

The Impact of CMS-0057-F on Streamlining Prior Authorization Processes

The Interoperability and Prior Authorization Final Rule (CMS-0057-F) aims to streamline the prior authorization process, reducing delays in patient care and lowering administrative costs. Finalized by CMS on January 17, 2024, this rule is expected to save approximately $15 billion over the next decade by reducing burdens on patients, providers, and payers. Key Impacts of […]
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: Final Rule for Streamlining Prior Authorization Processes

Final Rule for Streamlining Prior Authorization Processes Unveiled

In an effort to streamline prior authorization processes, provider bunches, including the American Medical Association (AMA) and the Medical Group Management Association (MGMA), have asserted that the ultimate goal of the new regulations will assist in facilitating a more efficient and effective prior authorization workflow. Provider bunches are commending CMS for finalizing understanding data-sharing approaches […]
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