As the deadline for the CMS Interoperability and Prior Authorization Final Rule approaches, new data shows that providers are ...
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 ...
Payers are rightly reaching out to InterSystems with a host of implementation questions about the Prior Authorization API recently mandated by the Interoperability and Prior Authorization Rule ...
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 ...
After the Centers for Medicare and Medicaid Services put out a request for information on a proposed CMS-led national directory of providers in October, one CMS official shared insight Wednesday on ...
Industry and HHS should collaborate to develop a voluntary standardized identifier for provider networks that is consistent across all segments of the health insurance markets. To accomplish this, we ...
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