START YOUR COMPLIANCE PLANNING TODAY!
We all know the importance of CMS-0057-F mandate compliance. In fact we’ve outlined some important dates to consider when creating your compliance workback schedule. There is considerable planning and preparation to be done ahead of implementation which should be happening now.
Start Implementation:
e-Prior Auth July 2025 (compliance for Jan 1st, 2027)
P2P January 2025
2027 might seem like it's ages away, but it’ll be here before you know it. Planning and executing on your strategy now is in your best interest.
Our Solutions:
Smile's e-Prior Auth Solution allows healthcare organizations to transcend the inefficiencies of manual prior authorizations, paving the way for a future marked by enhanced efficiency, compliance, and improved patient care. This forward-thinking approach not only aligns with regulatory mandates but also introduces operational savings and strategic interoperability, significantly benefiting all healthcare system stakeholders.
What you’ll get:
Modular e-Prior Auth Solution:
Seamlessly integrates with existing ecosystems, allowing tailored implementation.
Flexible Strategic Interoperability Platform:
Smile e-Prior Auth is part of a comprehensive health data fabric that embraces interoperability.
Rules Authoring Expertise:
Guided by FHIR and CQL experts, Smile e-Prior Auth can both author and adjudicate against your policy rules.
Addressing the CMS 0057F Mandates Entirely:
The Smile solution comprehensively addresses the CMS Interoperability Rule 0057F through our health data fabric and specialized modules.
Smile’s Payer to Payer Solution is crafted to redefine the landscape of healthcare data exchange and optimize the accuracy and efficiency of all healthcare administrative tasks. This innovative solution harnesses the robust capabilities of FHIR® and HL7® standards to facilitate a seamless, secure, and efficient data transfer process.
It reduces compliance risks that come with ever-evolving healthcare regulations and enables organizations to better navigate the complexities of modern healthcare delivery through informed clinical decision making that enhances the continuity of care.
What you’ll get:
Seamless Integration:
Smile's solution facilitates the efficient exchange of claims, prior authorization decisions, and other critical data, ensuring compliance with the CMS-0057-F ruling and promoting a unified healthcare data ecosystem.
Modular Flexibility:
Recognizing the diverse needs of healthcare payers, Smile offers a modular approach, allowing payers to select and customize the solution according to their specific requirements.
Future-Proof Compliance:
With an eye towards upcoming regulatory requirements, Smile guarantees adherence to the evolving landscape of healthcare standards, ensuring that payers are well-prepared for future mandates.