Healthcare Finance News December 7, 2022
Efficiencies introduced in these policies would save physician practices and hospitals more than $15 billion over a 10-year period, CMS says.
In a newly proposed rule, the Centers for Medicare and Medicaid Services is changing prior authorization standards to speed up the time it takes for payers to approve the requests and is implementing HL7 FHIR standards to support an electronic process.
CMS is proposing to require certain payers, including Medicare Advantage organizations, to implement electronic prior authorization and to send decisions within 72 hours for expedited requests and seven days for non-urgent requests.
The Advancing Interoperability and Improving Prior Authorization Proposed Rule, released Tuesday, would require implementation of a Health Level 7 (HL7) FHIR standard API to support electronic...
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