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Step-By-Step Implementation of CMS-0057-F Prior Authorization APIs: Ensuring Compliance and Achieving Savings
This upcoming white paper provides a step-by-step breakdown outlining the ability to approach this project in manageable phases that individually realize true process optimizations on the path to full compliance. It details the essential components payers must incorporate to comply with the CMS‑0057‑F rule for Prior Authorization FHIR APIs, offers insights into vendor categories that require evaluation, and highlights crucial considerations for a successful implementation by December 31, 2026. Additionally, the paper suggests initial steps for payers to achieve early ROI while meeting the regulation.