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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.
2 Seamless interoperability and integration management will be critical to this hybrid approach. In most cases, the legacy protocols need to be translated into the more modern HL7 Fast Healthcare Interoperability Resources (FHIR®) protocol which requires in-depth healthcare data knowledge and experience.
For health information technology (HIT) and electronic health record (EHR) vendors, new regulations that promote interoperability and transparency for PA workflows are an opportunity to significantly improve the experience for providers and the patients they serve.
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