CMS prior authorization changes taking effect in January 1, 2027 and what they could mean for your practice. CMS is moving many health plans toward a more standardized electronic prior authorization process designed to reduce fragmented workflows involving payer portals, phone calls, faxes, and manual follow-up. CMS-0057-F is accelerating the healthcare industry’s shift toward electronic prior authorization and interoperability. Experts will discuss the new prior authorization API requirements, which health plans are affected, what information the electronic process is expected to provide, and why practices should begin reviewing their workflows before January 2027.

In this webinar, experts will explore the provider side of CMS-0057-F, including the risks of inconsistent procedure data, the operational impact of faster denial timelines, and why terminology governance is becoming critical to interoperability success. Participants will gain insight into how health systems can better prepare EHR data for the next phase of healthcare interoperability.

Areas Covered in  the Session:

• Introduction
• Prior authorization changes coming in 2027
• How the prior authorization process is changing
• What is CMS-0057-F?
• Which health plans are affected?
• CMS-0057-F impact on provider and medical practices
• Impacted provider and facilities
• Prior authorization API requirements
• Patient access API
• Provider access API
• HIPAA administrative simplification
• Benefits of a standardized process
• Why data quality matter?
• Risks for providers
• Compliance timelines: Prior authorization decision time frames
• How medical practices should prepare for 2027
• Key takeaways

Who Should Attend:

• Physicians
• Non-Physicians Providers
• Office Managers and Administrators
• Medical Coders and Billers
• Revenue Cycle Manager and Staff
• Practice Managers
• Clinical Operations Staff
• Compliance Officers
• Telehealth Service Providers
• Qualified Healthcare Practitioners
• Healthcare Executives, Directors and Supervisors

Don’t miss this opportunity to know how CMS new prior authorization changes may affect provider reimbursement, care delivery and patient engagement in 2027.