Must read CMS

CMS-0057-F Final Rule Mandates FHIR-Based Prior Authorization and Data-Sharing APIs by 2026–2027

The 2024 CMS Interoperability and Prior Authorization final rule sets hard compliance deadlines for payers to implement FHIR APIs that streamline prior authorization and cross-payer data exchange — with a key HIPAA carve-out clearing the path. CMS released the 2024 Interoperability and Prior...

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