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Prior Authorization Takes a Leap Forward in CMS Regulation

Healthcare IT Today

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. A Process in Urgent Need of an Upgrade Clearly, prior authorization is crying out for standardization and interoperability. The release of FHIR in the mid-2010 decade changed everything.

FHIR 111
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Toward a Wider Adoption of Digital Insurance Cards

Healthcare IT Today

So I was intrigued when Mark Scrimshire, chief interoperability officer of OnyxOS , introduced me to developments over the past few years that will make digital insurance cards feasible. HL7 , which has been setting standards for health care since 1987, leapt into the modern age of computer standards by adopting the FHIR standard.

FHIR 126
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2018 Medicare Fee-For-Service improper payment rate is lowest since 2010

CMS.gov

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010. Administrator, Centers for Medicare & Medicaid Services. 2018 Medicare Fee-For-Service improper payment rate is lowest since 2010 Significant progress in saving $4.59B in estimated improper payments for the Medicare Fee-For-Service program.

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2019: Healthcare IT gains new ground

Healthcare IT News - Telehealth

But at the tail end of the 'teens, we see a flowering of innovation that could only have been dreamed of in 2010. The EHR vendor’s founder also discusses the state of interoperability, cloud computing and today’s sticking points in health IT. Epic, Cerner and others reveal just how their EHRs are interoperable.