HTI 1 is often introduced as a certification update. That is correct, but it does not capture what leadership teams will…
CMS and Prior Authorization
Prior Authorization API: What Breaks in Real Implementations and How to Avoid It
Most payer teams can stand up a prior authorization API. They can: That part is doable. The trouble starts after go-live, when providers begin…
CMS Interoperability and Prior Authorization Final Rule for Payers
People are calling this an “API rule,” but that framing causes payers’ trouble. APIs are the visible output. The hard part is…