Yearly adjustments in healthcare policies are the norm, with some years marking more notable changes. Among these, the Centers for Medicare & Medicaid Services (CMS) consistently...

The concept of "Gold-carding” is an emerging policy trend that has the potential to significantly transform prior authorization (and claims) procedures. As an evolving concept, it...

In recent years, electronic prescribing (ePrescribing) and electronic prescribing of controlled substances (EPCS) have become the norm in the healthcare industry. While the...

Point-of-Care Partners (POCP) recently responded to the Office of the National Coordinator for Health Information Technology (ONC) proposed rule on "Health Data, Technology, and...

On December 21, 2022, the Department of Health and Human Services (HHS) issued a proposed rule that would regulate standards for health care attachment transactions. These include...

Our December 20 blog shared highlights from the CMS proposed rule for Advancing Interoperability and Improving Prior Authorization Processes, intended to improve patient and...

Reading and analyzing proposed rules is a necessary, albeit time consuming task. In order to help healthcare stakeholders, we’ve compiled some highlights of what is included in...

Advancing true healthcare interoperability and data fluidity is dependent upon collaboration, and collaboration requires participation. Recently, the Centers for Medicare and...

Expanded info-blocking rule bodes well for patients, but continues to pose challenges for actors/healthcare stakeholders as they wait on further clarification

The prior authorization process has long been a thorn in the proverbial side of healthcare. Providers, payers, and patients (perhaps most of all) have come to regard this...