As the deadline for the CMS Interoperability and Prior Authorization Final Rule approaches, new data shows that providers are ...
Where healthcare leaders stand on CMS API rule progress shows payers advancing while many providers lag behind the Jan. 1, ...
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 ...
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 ...
The AHA March 24 commented to the Centers for Medicare & Medicaid Services on upcoming requirements from the Consolidated ...
The Centers for Medicare & Medicaid Services (CMS) wants public input on how best to create a centralized, nationwide directory of healthcare providers and services, according to an unpublished notice ...
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 ...