In a newly proposed rule, the Centers for Medicare and Medicaid Services is changing prior authorization standards to speed up the time it takes for payers to approve the requests and is implementing HL7 FHIR standards to support an electronic process.

CMS is proposing to require certain payers, including Medicare Advantage organizations, to implement electronic prior authorization and to send decisions within 72 hours for expedited requests and seven days for non-urgent requests.

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