The Centers for Medicare & Medicaid Services … [Read more...]
More HCPCS Codes to Be Added to Medicare Prior Authorization Process in October
New Study Examines Medicare Advantage Prior Authorization Denials, Successful Appeals
KFF analysis showed appeals are often successful, but not often used.
A new study by KFF (formerly Kaiser Family … [Read more...]
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...]
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...]
Major Insurers Pledge to Streamline Prior Authorization, Ease Provider Burden: What HME Stakeholders Should Know
The practices of the nation’s commercial insurance … [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...]
CMS Seeks to Remove ‘Barriers to Care’ in Medicare Advantage, Build Guardrails Around AI
The announcement targeted “inappropriate” use of prior authorizations by Medicare Advantage plans.
The Centers for Medicare & Medicaid Services … [Read more...]
CMS Announces Prior Authorization, F2F, WOPD Changes for Orthoses Codes
The new requirements begin on Aug. 12.
The Centers for Medicare & Medicaid Services … [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...]