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Merit-based Incentive PaymentSystem (“MIPS”) eligible clinicians, operating under the Promoting Interoperability performance category of MIPS, and eligible hospitals and critical access hospitals (“CAHs”), operating under the Medicare Promoting Interoperability Program, are impacted by the Final Rule, as well.
While most of the rule focuses on payer requirements, it also requires that Merit-Based Incentive PaymentSystem (MIPS) “Promoting Interoperability Program” eligible providers report on their use of Prior Authorization APIs in a new “Electronic Prior Authorization” measure. commercial plans, worker’s compensation, etc.)
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