2026 Compliance Readiness

The CMS-0057 regulatory cliff is coming. We provide the lifeboat — instant FHIR-API readiness as a managed service so you can focus on patient care.

The Foundation: Technical & Operational Readiness

The Regulatory Cliff is Real

CMS-0057 Requirements

The Interoperability and Prior Authorization Final Rule mandates significant technical and operational changes:

  • Patient Access API: FHIR R4 for patient data access
  • Provider Access API: Payer-to-provider data exchange
  • Prior Auth API: Electronic prior auth submission
  • 72-hour turnaround: Urgent auth decisions
  • 7-day turnaround: Standard auth decisions

Medicare Advantage Deadline

2026

January 1, 2026 — MA Plans

January 1, 2027 — Medicaid/CHIP

FHIR-API Service

Managed Compliance

FHIR-API Readiness as a Managed Service

Independent hospitals and provider groups lack the in-house IT resources and capital to build the required FHIR-API infrastructure. We provide instant readiness as a managed service.

We handle the technical complexity, ensuring you meet the mandate while also gaining the benefits of our full Total-Yield Lifecycle platform.

  • No capital investment required
  • Rapid deployment (weeks, not months)
  • Ongoing compliance monitoring
  • Full integration with your existing EHR

How We Get You Ready

Gap Assessment

Comprehensive audit of your current infrastructure against CMS-0057 requirements. Detailed roadmap with prioritized remediation steps.

  • Technical infrastructure review
  • Workflow analysis
  • Compliance scorecard

FHIR Implementation

Deploy FHIR R4 APIs for Patient Access, Provider Access, and Prior Authorization. Full integration with your EHR and payer connections.

  • API deployment & configuration
  • EHR integration
  • Payer connectivity setup

Managed Compliance

Ongoing monitoring, updates, and support to maintain compliance. We handle regulatory changes so you don't have to.

  • 24/7 monitoring
  • Regulatory updates
  • Dedicated support

Don't Face the Compliance Cliff Alone

Take our free readiness assessment to understand your compliance gaps.