This comprehensive course targets the latest CMS regulations improving electronic health data exchange and streamlining prior authorization for Medicare Advantage, Medicaid, CHIP, and more. Participants will gain critical insights into the new API requirements that enhance patient data accessibility and reduce administrative burdens. Ideal for healthcare professionals and organizations aiming to meet compliance and leverage interoperability for better patient outcomes.
In this course you will learn the following:
* Understand the background and purpose of the rule.
* Identify key requirements for Patient Access, Provider Access, Payer-to-Payer, and Prior Authorization APIs.
* Learn about prior authorization process improvements, including timelines and denial justifications.
* Understand compliance requirements, timelines, and consequences of non-compliance.
* Recognize the impact of the rule on different stakeholders.
* Identify available resources for implementation and compliance.
