Prior Authorization and Attachments Proposed Rules Now Published: Share your Perspectives on these Critical Regulations
The Centers for Medicare & Medicaid Services (CMS) has released two long-awaited proposed rules that will significantly impact the health care industry. December 13 saw the release of the “Advancing Interoperability and Improving Prior Authorization Processes” Notice of Proposed Rulemaking (NPRM), followed about a week later with the publication of “Adoption of Standards for Health Care Attachments Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Transaction Standard” NPRM. Combined, these two proposals have the potential of transforming how providers and payers exchange information.
Both proposed rules will significantly alter how providers and health plans transmit and receive health information. It will be critical for the industry to coalesce around a consistent message to ensure the final rules will be beneficial to providers, payers, and the patients they serve. To respond to these important rules, WEDI will be implementing our recently revised Member Position Advisory (MPA) process to convene the industry, gather input from our multi-stakeholder membership, and submit consensus-based recommendations to the government.
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