Why most PE-backed multi-site providers will fail their first 2026 audit and the seven operational gaps that will surface in Q1. The rule changed on January 1. The workflow built around the old clock didn't. On January 1, 2026, the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) took effect. Most of the coverage has been written for payers, because most of the new compliance burden falls on payers. Standard prior authorization decisions now have to be re