Electronic health record providers are starting work that could transform how nursing homes grapple with prior authorization requests and length of stay determinations.

Building on the technological foundation of the May 2020 CMS Interoperability and Patient Access final rule (85 FR 25510), these API policies will improve patient, provider, and payer access to ...

Payers are rightly reaching out to InterSystems with a host of implementation questions about the Prior Authorization API recently mandated by the Interoperability and Prior Authorization Rule ...

One increasingly subtle but important theme in US healthcare is the shift to care allocated by payers rather than providers. Historically, decisions on what care to provide patients were made by ...

Prior authorization has emerged as a flash point between payers and providers as the former tries to manage what they believe is waste in the system while the latter accuses payers of trying to deny ...

Please provide your email address to receive an email when new articles are posted on . HCPs will be able to submit prior authorization requests electronically, streamlining care. They will also be ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company, announced today that its market leading healthcare interoperability solution now includes ...

Availity and Onyx's solution addresses CMS-0057 compliance, focusing on interoperability and prior authorization reform. The CMS-0057-F rule requires standardized application programming interfaces ...

More than half of providers and 43% of payers have yet to start work on the application programming interface requirements of the interoperability and prior authorization final rule, according to a ...

The agency plans to expedite prior authorizations, through digitization and better data exchange, saving the healthcare industry $15 billion over a decade — in the hopes of one day having the ...