Healthcare Finance News December 18, 2025
On Jan. 1, impacted payers will have limited time to respond to prior authorization requests, as mandated in the Interoperability and Prior Authorization final rule.
The Workgroup for Electronic Data Interchange (WEDI) has released the results of its most recent survey assessing industry readiness to meet the requirements of the Centers for Medicare and Medicaid Services Interoperability and Prior Authorization Final Rule.
WEDI’s survey looked at compliance for requirements that go into effect on Jan. 1, 2027.
Other requirements start on Jan. 1, 2026.
One of the major requirements that goes into effect in two weeks mandates a new timeline for prior authorization approval: 72 hours for urgent requests and seven days for standard requests.
Payers must provide...
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