The Centers for Medicare & Medicaid Services April 10 released a proposed rule that would establish electronic standards for ...
The Medicare Access and CHIP Reauthorization Act, or MACRA, is coming soon, and with it CMS's Quality Payment Program, which requires providers who bill Medicare more than $30,000 a year to report ...
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 ...
A large portion of payers and providers have not started or are partially through implementing CMS API requirements, with compliance due by January 1, 2027. Key challenges include funding, developing ...
Seema Verma is administrator of the Centers for Medicare and Medicaid Services. This article was coauthored with Alexandra Mugge, deputy chief health informatics officer at CMS, and Shannon Sartin, ...
The CMS is once again tackling prior authorization in its new rule proposed Tuesday. Prior authorization, a process in which a physician must get the green light from an insurer for medication or ...
CMS is requesting public feedback on the NDH concept and potential benefits, provider types, entities and data elements that could be included to create value for the healthcare industry, the ...
The healthcare industry has often been plagued with interoperability challenges. This has limited the innovation targeting the most important stakeholder in the healthcare industry: the patient. The ...
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