About This Webinar
The topic of prior authorization regulation and automation has become ubiquitous, with daily mentions and discussions. Notably, the CMS proposed rule (PARDD API and FHIR) and numerous state legislations or regulations have been introduced to tackle prior authorization challenges.
Through the initial implementations, MCG Health has gained valuable insights into the challenges related to the clinical and IT requirements of payers and providers to support prior authorization requirements (PARDD API). MCG recognizes the intricate interplay between clinical decision-making and technological infrastructure. MCG has also observed firsthand the complexities and intricacies of aligning clinical guidelines and protocols with the IT systems utilized by payers and providers for prior authorizations.
Join us for an informative webinar where MCG will offer valuable insights into prior authorization automation and show how they bridge the clinical and IT needs of payers and providers for successful implementation.
This Webinar Will
- Summarize the CMS proposed prior authorization rule (PARDD API, CRD/DTR/PAS, FHIR, X12)
- Illustrate prior authorization challenges faced by payers and providers, particularly in relation to their clinical and IT needs
- Assess the importance of bridging clinical and IT requirements including, recognizing the significance of aligning clinical decision-making with IT infrastructure to streamline the prior authorization process
- Discuss how MCG's solutions bridge this gap and improve overall efficiency
