Healthcare IT Today
OCTOBER 12, 2023
I talked to Nikki Henck, Senior Director of Utilization Management at Sagility , about the implementation and potential impact of this proposed requirement, which, if finalized, will be enacted in January 2026. A Process in Urgent Need of an Upgrade Clearly, prior authorization is crying out for standardization and interoperability.
Redox
JANUARY 24, 2024
My debut focused on how the CMS proposed Interoperability and Prior Authorization rule would dramatically improve prior authorization processes with electronic processing via APIs. CMS just finalized the CMS Interoperability and Prior Authorization Final Rule CMS-0057-F , or what many have called the “Interop 3” rule. ICYMI: It didn’t.
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Redox
MARCH 14, 2024
Up first: Using bulk FHIR. What is bulk FHIR? Like many aspects of HL7 ® Fast Healthcare Interoperability Resources (FHIR ® ), there has been a lot of hype about the potential of using bulk FHIR to get large amounts of data out of EHRs. That’s where bulk FHIR comes in.
Healthcare IT Today
JANUARY 11, 2023
Healthcare Analytics and Interoperability. And now, check out our community’s healthcare analytics and interoperability predictions. The interoperability community has been waiting for the updated Prior Authorization proposal after the late 2020 proposal was withdrawn due to concerns about costs and deadlines.
Redox
NOVEMBER 21, 2023
Small physician practices, rehabilitation hospitals, long-term acute care hospitals, acute psychiatric hospitals, small rural acute care hospitals, and nonprofit clinics will have until January 2026. Of note, the XCPD, XCA, and XDR profiles do not currently support FHIR natively.
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