CMS Prior Authorization Rule & its Impact on Providers Question Title * 1. Please share what type of organization you work for: Hospital or Health System Physician Office Home Health Ambulatory Surgical Center Long Term Care Rehab Facility Behavioral Health Other (please specify) Question Title * 2. How do you currently request a prior authorization today? Send a form via paper fax Send a form via cloud fax Fill out authorization on a payer portal Send a structured request from your EHR Unsure Other (please specify) Question Title * 3. Do you currently use a certified EHR? Yes No Unsure at this time Additional comments: Question Title * 4. How ready are you to request authorizations using FHIR and receive payer communication back in FHIR? Not at all prepared Somewhat prepared Very prepared Unsure at this time Additional comments: Question Title * 5. Do you have plans to upgrade your existing exchange technology/methods to support this new rule? Yes No Unsure at this time Additional comments: Question Title * 6. Could we reach out to you to learn more about this ruling's potential impact on your organization? If yes, please provide your name and email address: Yes No Name & email: Done