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Breaking Down CMS Final Rule CMS-0057-F: Ask Me Anything with Industry Experts

Breaking Down CMS Final Rule CMS-0057-F: Ask Me Anything with Industry Experts2024-05-08T07:33:25+00:00

Breaking Down CMS Final Rule CMS-0057-F: Ask Me Anything with Industry Experts

 17th May 2024 | 11am PST


Mason Burr
Mason Burr
VP of Strategy
Nikita Ravindran
Nikita Ravindran
Product Manager

Join us for an interactive webinar where you can get all your questions answered about the recent Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule (CMS-0057-F). This landmark rule aims to streamline healthcare data exchange and improve the prior authorization process, ultimately benefiting patients, providers, and payers.

This Ask Me Anything (AMA) format webinar is your chance to :

  • Gain a clear understanding of the key provisions of CMS-0057-F, including:
  • Alignment with Implementation Guides (IGs): We’ll discuss how the rule aligns with existing standards like the new Da Vinci Project Payer-to-payer Data Exchange IG to ensure smooth implementation.
  • FHIR Takes Center Stage: Learn how the Fast Healthcare Interoperability Resources (FHIR) standard is playing a key role in data exchange under the new rule, enabling seamless exchange of clinical and administrative data.
  • Changes in Patient Access API: We’ll break down the updates to the Patient Access API and how they impact patient data sharing, empowering patients to take a more active role in their care.
  • Changes in Payer to Payer API: Explore the revisions made to the Payer to Payer API and their implications for inter-organizational communication, fostering better collaboration between payers.
  • Introduction of Prior Authorization API and Provider Access API: Dive deep into the newly introduced APIs and their functionalities, streamlining the prior authorization process and improving care coordination between providers.
  • Improving Prior Authorization Processes: A Focus on Transparency and Efficiency: We’ll discuss the rule’s emphasis on:
  • Stricter timeframes for decisions: Ensuring timely access to necessary care.
  • Specific denial reasons: Providing clear explanations to facilitate appeals and resubmissions.
  • Public reporting of prior authorization metrics: Promoting transparency and accountability within the healthcare system.
  • Merit-based Incentive Payment System (MIPS) and Medicare Promoting Interoperability Program: Understand how the rule intersects with these programs and potential impacts on provider reimbursement.

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