May 27, 2021 • 12:00 PM - 1:00 PM ET
The Centers for Medicare & Medicaid Services (CMS) recently issued a rule that will improve the electronic exchange of health care data among payers, providers, and patients. The CMS rule will streamline processes related to prior authorization to reduce the burden on providers and patients. Medicaid, CHIP (Children's Health Insurance Program), and QHP (Qualified Health Plan) payers will be required to build and implement FHIR-enabled APIs that will allow providers to know, in advance, what documentation would be needed for each different payer; streamline the documentation process; and enable providers to send prior authorization requests (and receive responses electronically) directly from the provider's EHR or other practice management system. During this webinar, learn what the proposed rule means to both payer and provider organizations and how it may impact their prior authorization processes.
- Examine how the proposed rule may reduce the burden on providers and patients
- Hear what your organization will need to prepare (both clinically and technically) to comply with the upcoming FHIR API mandate
- Explore how prior authorization can be part of the EHR workflows