CMS prior authorization rule finally crosses the finish line
Redox
JANUARY 24, 2024
More time to comply with API requirements The finalized rule requires that both payers and providers update or implement a variety of HL7® Fast Healthcare Interoperability Resources (FHIR®) APIs. In other words, Prior Authorization APIs will be compliant if they use FHIR and X12, or purely FHIR. X12 to FHIR) or small (e.g.
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