Understanding the CMS Prior Authorization Rule – Reducing Provider and Patient Burden

Viet Nguyen, MD, Technical Director for the HL7® Da Vinci Project, Stratametrics; and Rajesh Godavarthi, AVP, Technology and Interoperability, MCG Health.  CMS recently issued a rule to standardize the electronic exchange of healthcare data for prior authorization.  Although the rule is now on a temporary administrative hold, it is expected to be enacted soon.  The rule represents a giant leap forward for interoperability and poses significant technological challenges to both payers and providers.  Join Dr. Nguyen and Rajesh to learn how the rule may impact prior authorization processes and reduce the burden on providers and patients. They explore what organizations need to prepare (both clinically and technically) to comply with the upcoming FHIR API mandate and take a closer look at how prior authorization processes can be embedded within the EHR workflow.