A new study by KFF (formerly Kaiser Family … [Read more...]
New Study Examines Medicare Advantage Prior Authorization Denials, Successful Appeals
Prior Authorization Process Change Now in Effect at DME MACs
The new process, involving exempted suppliers, began June 1.
CGS Administrators, the jurisdictions B and C DME … [Read more...]
Industry Urges Individual Consideration for Seat Elevation at DME MAC Meeting
The meeting, cohosted by Noridian and CGS, took place March 25.
Industry speakers urged the Medicare DME MACs to … [Read more...]
CMS Adds Orthoses, PCD Codes to Prior Authorization List for April
Prior authorization requirements go into effect on April 13.
The Centers for Medicare & Medicaid Services … [Read more...]
Briefly: Noridian Publishes Ostomy Supplies FAQs, Closes Prior Authorization Hotline
Featuring Noridian Healthcare Solutions.
Noridian Publishes Updated Ostomy Supplies … [Read more...]
Medicare Advantage Prior Authorization: A Growing Challenge for HME Companies
Prior authorizations can affect providers’ cash flow and also potentially threaten patients’ health.
Medicare Advantage (MA) prior authorization … [Read more...]
New Senate Report Highlights Medicare Advantage Prior Authorization Challenges: What HME Providers Should Know
More than half of Medicare-eligible beneficiaries were enrolled in Medicare Advantage plans in 2024.
Prior authorization remains a serious roadblock … [Read more...]
Maryland, Missouri, Wisconsin Postpone Carelon Takeover of Medicaid Prior Authorizations
The transition was to take place on July 1.
Carelon Medical Benefits Management was due to … [Read more...]
Legislation Looking to Improve MA Prior-Authorization Process Could Be Big Win for HME Industry
Medicare Advantage plans are known for their copious use of the prior authorizations.
A group of bipartisan lawmakers last week … [Read more...]
Briefly: NYT Story Questions MAP Prior Authorizations; Younger Workers Concerned About Medicare Sustainability
Featuring the New York Times and eHealth.
New York Times: MAPs’ Prior Authorizations Are … [Read more...]