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Showing posts with the label CMS’s Proposed Rule on Automating Prior Authorization

Streamlining and Automating Prior Authorization

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CMS's Proposed Rule on Robotizing Prior Authorization  On tenth December 2020, The Habitats for Medicare and Medicaid Services (CMS) proposed another guideline pointed toward improving the sharing of healthcare information among payers and providers and smoothing out prior authorization, a significant administrative issue for providers. This new principle will support patient information trade and smooth out prior authorization, which will facilitate the weight on the provider. Also, providers can improve patient care by investing more energy in their patients. CMS' proposed rule requires payers in certain administration programs to construct application programming interfaces (APIs) for information trade and prior authorization.  This proposed rule tends to a typical grumbling from providers that prior authorization has expanded being used among plans and removes up an excessive amount of time from patients. After the implementation of this standard, providers\\\' hang tig