To Authenticate or Not to Authenticate: The Evolution of Payer-to-Payer Data Exchange

data exchange

While the concept of having former and concurrent payers exchange data on members was originally introduced to us by the Centers for Medicare & Medicaid Services (CMS) in its Interoperability and Patient Access (CMS-9115) final rule, it was in its Interoperability and Prior Authorization (CMS-0057) final rule where CMS, in the words of famous chef […]