CMS wants electronic prior authorization by 2027.
Are you ready?
On February 8, 2024, the Centers for Medicare & Medicaid Services published a Final Rule on Advancing Interoperability and Improving Prior Authorization (CMS-0057-F).
There is no time to waste, the Rule requires some aspects of the Rule to be in place for January 2025 to enable public reporting by January 2026.
We have updated our exclusive guide to explain what it means for payers and providers.
Three new APIs by January 2027
Under the new CMS rule, healthcare payers must develop three new APIs and meet more than 50 new requirements with some requirements going into effect by January 2026.
- Patient Access API upgrades
- Payer-to-Payer API
- Payer-Provider Bulk API
- Prior Authorization API
- Public reporting of prior authorization decision metrics
- Publication of Patient Access Metrics
Map your path to full compliance
Onyx knows interoperability and prior authorization. Get your exclusive guide today!
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