Inside the Onyx CMS-0057 Playbooks
From Mandate to Measurable Value The Interoperability and Prior Authorization Final Rule CMS-0057 is reshaping how payers, providers, and patients exchange health data. It builds on CMS-9115 with expanded use cases, bi-directional APIs, and higher expectations across four tracks: Payer-to-Payer, Provider Access, Patient Access, and electronic Prior Authorization (ePA). Most provisions must be live by […]
Who is Impacted by the Prior Authorization Rule?
Learn who is impacted by the CMS Prior Authorization Rule (CMS-0057)
What is the CMS-0057 Rule?
CMS Recently released the Prior Authorization Rule (CMS-0057). What is it about?
Prior Authorization: A Business Problem In Need Of Regulation
Prior Authorization: A Business Problem In Need Of Regulation. Regulations must address how providers can discover whether a prior authorization is required and, if required, what information needs to be sent with the request
Is Data Retention on a Collision Course with the CMS Interoperability Rule?
The Data Retention rules for the Legacy systems of Covered Entities may be in conflict with the member data access rules of the CMS Interoperability and Patient Access Rule. Onyx addresses this collision with SAFHIR.