Tag: Electronic Prior Authorization

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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Interoperability-and-Prior-Authorization-Final-Rule

CMS Unveils Final Rule to Streamline Prior Authorization Processes

Affected payers have to be sent earlier authorization choices inside 72 hours for pressing demands and seven days for standard requests. Under a last run the show discharged nowadays, affected payers will be required to send earlier authorization choices inside 72 hours for critical demands and seven calendar days for standard requests. The Centers for […]
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Electronic Prior Authorizations Help Patient, Physicians

Electronic Prior Authorization can have a positive impact for both physicians and patients. America’s Health Insurance Plans (AHIP) published a news release stating that an analysis of the E-prior authorization process found that it was able to significantly reduce the time between a request for authorization and a decision and the time between the decision […]
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