CMS Interoperability

The role CMS plays in advancing interoperability and healthcare data exchange across the industry.

CMS Interoperability and Prior Authorization Final Rule CMS-0057-F

These API policies will improve patient, provider, and payer access to interoperable patient data and reduce the burden of prior authorization processes.

Policies and Technology for Interoperability and Burden Reduction

CMS continues to build on its roadmap to improve interoperability and health information access for patients, providers, and payers. When ...

CMS Interoperability and Patient Access Final Rule

This rule is designed to make health information more easily available between health systems by implementing new industry standards like FHIR APIs.

Promoting Interoperability Programs - CMS

About the Promoting Interoperability ProgramIn 2011, the Centers for Medicare and Medicaid Services (CMS) established the Medicare and Medicaid Electronic ...

Interoperability and Patient Access for Medicare Advantage ...

As we noted in the CMS Interoperability and Patient Access proposed rule, we believe that our Patient Access API, in particular, will result in ...

Medicare and Medicaid Promoting Interoperability Program Basics

... (CMS) adopted changes and new requirements for the Medicare Promoting Interoperability Program for participating eligible hospitals and ...

New CMS Rules Advancing Interoperability - Health IT Buzz

CMS's proposed rule includes additional proposals to create incentives for clinicians and hospitals to engage in electronic prior authorization ...

What Providers Need to Know About the CMS Interoperability and ...

The rule, titled CMS Interoperability and Prior Authorization (CMS-0057-F), aims to reduce administrative burden, increase patient access to ...

CMS Interoperability and Patient Access Final Rule - Wolters Kluwer

The CMS Interoperability and Patient Access final rule is focused around giving patients access to their own health information; however, that doesn't ...

Centers for Medicare and Medicaid Services (CMS) introduction ...

The CMS released the Interoperability and Patient Access rule on May 1, 2020. This rule requires free and secure data flow between all parties ...

faqs about cms interoperability and patient access final - HHS.gov

Q1: What is the payer-to-payer data exchange requirement? On May 1, 2020, CMS published the CMS Interoperability and Patient Access final rule. (CMS-9115-F) to ...

Interoperability and the Connected Health Care System - CMS

On May 1, 2020, CMS published the CMS Interoperability and Patient Access Final Rule, establishing policies that advance interoperability and ...

Advancing Interoperability and Improving Prior Authorization ...

In the CMS Interoperability and Patient Access final rule, we required impacted payers (MA organizations, state Medicaid FFS programs, state ...

CMS Issues Interoperability and Prior Authorization Final Rule

Beginning January 1, 2026, CMS is requiring payers to provide a specific reason for denied prior authorization decisions (other than decisions ...

CMS Releases Interoperability and Prior Authorization Final Rule

The Final Rule continues CMS' efforts to encourage interoperability and availability of electronic health information.

CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F)

Why CMS-0057-F is so strategically important to all health plans. The technology components of the new “CMS Interoperability and Prior Authorization Final Rule” ...

FAQs: AUR Reporting for the CMS Promoting Interoperability Program

Eligible hospitals and CAHs must report a “yes” response or claim an applicable exclusion for each of the required measures under the Public Health and ...

Interoperability Implementation - DHCS - CA.gov

This APL notified all Dental Managed Care (DMC) Plans about the Centers for Medicare and Medicaid Services (CMS) Interoperability and Patient ...

The CMS Interoperability and Prior Authorization Rules - JD Supra

Healthcare lives on data. Getting it to the patient and providers is essential for delivering quality care, but that can be a challenge.