The Prior Auth Regulation Clock Is Running: What Providers Must Fix Now

CMS-0057-F and WISeR are accelerating the move toward API-based prior authorization—but most provider organizations aren’t yet positioned to take advantage of what payers are building. In this follow-up session to our webinar overviewing the regulatory changes, Dr. Steve Kim offers a deeper dive on how to prepare through the lens of real operational requirements: workflow standardization, FHIR transaction readiness, reporting and accountability, change management, and RCM alignment. Drawing directly from frontline experience, he’ll unpack the “hidden checklist” providers must complete before regulatory reform delivers real relief, highlight where most organizations are unprepared today, and outline practical steps that patient access leaders can take now to avoid falling behind.