AJMC January 15, 2021
CMS finalized a rule on electronic data entry that will streamline the prior authorization process and improve data transparency for providers, payers, and patients.
CMS finalized a new rule today that will allow certain payers, providers, and patients to have electronic access to pending and active prior authorization (PA) decisions.
The agency said the rule will streamline the PA process and allow providers to devote more time and focus to providing better quality care to patients. Promoting secure electronic access to data in new ways will drive interoperability, empower patients, and reduce costs and the burden on the health care system, CMS reiterated.
“Thanks to this rule, millions of patients will no longer have to wrangle with prior providers or...