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    CMS Interoperability and Prior Authorization Rule

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    The Interoperability and Prior Authorization proposed rule (CMS-9123-P) builds on the policies finalized in the CMS Interoperability and Patient Access final rule. This proposed rule emphasizes the need to improve health information exchange to achieve appropriate and necessary access to complete health records for patients, health care providers, and payers. This proposed rule also focuses on efforts to improve prior authorization processes through policies and technology, to help ensure that patients remain at the center of their own care. The rule enhances certain policies from the CMS Interoperability and Patient Access final
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    CMS Interoperability and Prior Authorization Rule

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    Overview

    Enable Prior Authorization proposed rule (CMS-9123-P) . Implement FHIR Prior Auth workflow as defined by CMS. Prior Authorization Support (PAS) API - HL7 FHIR Da Vinci - PAS IG ClaimInquiryOperation ClaimSubmitOperation PAS Beneficiary Patient PAS Claim PAS Claim Inquiry PAS Claim Inquiry Response PAS Claim Response PAS Claim Update PAS CommunicationRequest PAS Coverage PAS Device Request PAS Encounter PAS Inquiry Request Bundle PAS Inquiry Response Bundle PAS Insurer Organization PAS Medication Request PAS Practitioner PAS Request Bundle PAS Requestor Organization PAS Response Bundle PAS Service Request PAS Subscriber Patient

    Highlights

    • Enable Prior Authorization proposed rule (CMS-9123-P). Prior Authorization Support (PAS) API - HL7 FHIR Da Vinci - PAS IG

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    Pricing is based on your specific requirements and eligibility. To get a custom quote for your needs, request a private offer.

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    Vendor support

    HiPaaS offers core product support as part of the offering. • Any core product defects or issues will be resolved based on priority and sla. Please contact support@hipaas.com  to log product defects. • HiPaaS also offers paid managed services for monitoring,loading and converting your FHIR data. • For large amount of data conversion dedicated environment will be offered under private pricing. • HiPaaS also offers professional services to implement various data transformation. • HiPaaS offers training documentation and hands on training