Explore the CMS interoperability and prior authorization rule

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The CMS Interoperability and Prior Authorization rule mandates new health plan protocols. Key points include:

  • Standard requests: 7-day completion by Jan 1, 2026, for Medicare Advantage, Medicaid, CHIP (excluding QHPs on the federally-facilitated exchange)
  • Expedited requests: 72-hour completion

ZeOmega's HealthUnity Smart Authorization Gateway aids compliance with these regulations. It's designed for payer-provider cooperation and value-based care.

Discover how to ready your health plan for these CMS changes in this infographic.

Vendor:
ZeOmega
Posted:
Jul 24, 2024
Published:
Jul 25, 2024
Format:
PDF
Type:
Infographic
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