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HHS Wants Comment on Proposed Electronic Prior Authorization Rules

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A Department of Health and Human Services office is looking for the public’s feedback on proposed standards, implementation specifications and certification criteria for the electronic prior authorization process.

The Office of the National Coordinator for Health Information Technology will use responses from its request for information to determine what rules could be adopted within the ONC Health Information Technology Certification Program, the HHS said Friday.

ONC is looking to implement new regulations for automating prior authorization tasks by lifting from patients, health care providers and payers the burden of verifying that medical service is necessary, within coverage criteria and meets care standards.

“We’re eager to hear from the public about prior authorization and ways to bridge the gap between administrative and clinical data so that clinicians have more time to focus on patient care and patients have a better experience with the healthcare system,” shared Elise Sweeney Anthony, executive director of HHS’ policy office.

Interested stakeholders have until March 25 to respond to the RFI.