Healthcare regulation

CMS prior authorization rule finally crosses the finish line

CMS recently finalized the Interoperability and Prior Authorization Final Rule (CMS-0057-F). Review some of the key changes CMS made to their original proposal, how changes impact requirements for payers and providers, and how Redox can help them reach compliance.

Breaking down the CMS proposed prior authorization rules

The healthcare industry is continues to evolve, recent proposals from CMS are aimed at reducing the burden of prior authorization. As healthcare organizations work to stay compliant with the new rules, having expertise in the three leading data standards, FHIR, X12, and CDA, has become an absolute must. We take a closer look at why this expertise is crucial in ensuring compliance with the new CMS regulations.

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What you need to know about the new ONC and…

The latest health data rules from the ONC are official. Here's what you need to know.

5 big questions still to be answered by the final…

With the CMS and ONC final healthcare interoperability rules under review at OMB, it’s…

Mr. Skievaski goes to Washington (to advocate for meaningful interoperability)

Getting into the Department of Health and Human Services was a bit of an adventure. Security was tight,…

Care coordination through trusted exchange networks: How CMS is requiring…

This is the second part of a series about what the new CMS and ONC rules mean for…

Making sense of the proposed CMS interoperability rule update requiring…

As the largest payer in the United States, any changes proposed by the CMS that influence provider organization…

Making sense of the recent CMS and ONC proposed rules…

Last Monday, just as many of us were traveling to HIMSS, HHS released two long-awaited pieces of policy…

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