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Beyond the CMS Burden Reduction Mandate: How to Implement ePA to Reduce Utilization Management Cost, Improve Efficiency, and Increase Provider Satisfaction
Prior authorizations have been identified as a major source of provider burnout and administrative waste and frustration. In response, CMS had proposed a Prior Authorization Rule which requires Medicaid, Medicare, CHIP, and QHP FFE plans to develop and maintain FHIR-based APIs to support electronic inquiry and submission for providers in their network. Beyond the mandate, did you know that electronic prior authorization can reduce your utilization management burden by more than 60 percent? Learn how you can leverage the Fast Healthcare Interoperability Resources (FHIR) framework to enable healthcare transformation by enabling interoperability to support prior authorization at the point of care, deliver faster medical necessity determinations, and higher provider satisfaction.

Key Takeaways:
- How the proposed CMS Burden Reduction Mandate will reduce the prior auth administrative burden for both providers and payers
- Key FHIR concepts and how they support faster and or real-time clinical decisioning
- How to leverage the FHIR framework to enable workflow automation without needing to replace their legacy system and or disparate data sources
- The role of the Da Vinci Implementation Guides and standards, when implemented properly, will lead to faster, more accurate medical necessity reviews

May 12, 2022 02:00 PM in Eastern Time (US and Canada)

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