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Accounts Receivable

Manage invoices, track payments, and optimize cash collection

CMS Prior Authorization Final Rule: What the 7-Day and 72-Hour Deadlines Mean for Medical and Dental Practices

As of January 1, 2026, CMS-0057-F requires Medicare Advantage, Medicaid, CHIP, and ACA marketplace payers to decide prior authorization requests within 72 hours (expedited) or 7 calendar days (standard) and to give specific denial reasons — with FHIR-based prior auth APIs mandated by January 1, 2027. Here's what small medical and dental practices should do now.