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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.
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
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