CMS Issues Final Rule Aimed at Improving Prior Authorization Processes | King & Spalding

On January 18, 2024, CMS released a pre-publication version of a final rule (the Final Rule) that will require Medicare Advantage organizations (MA or Part C), Medicaid and the...

Related Keywords

,Medicare Promoting Interoperability Program ,Health Information Exchange ,Backend Services Authorization ,Children Health Insurance Program ,Health Plans Qhps ,Consumer Directed Payer Data Exchange ,Final Rule ,Medicare Advantage ,Health Insurance Program ,Qualified Health Plans ,Federally Facilitated Exchanges ,Patient Access ,Provider Access ,United States Core Data ,Authorization Decision Timeframes ,Including Denial Reason ,Authorization Metrics ,Prior Authorization Measure ,Eligible Hospitals ,Critical Access Hospitals ,Electronic Prior Authorization ,Medicare Promoting Interoperability ,Calendar Year ,States Core Data ,Fast Healthcare Interoperability Resources ,Implementation Guide ,Trial Use ,Launch Framework Implementation Guide Release ,Data Access ,Implementation Guides ,Directed Payer Data Exchange ,Blue Button ,Backend Services ,Vinci Payer Data Exchange ,Vinci Coverage Requirements Discovery ,Vinci Documentation Templates ,Vinci Prior Authorization Support ,