Becker's Healthcare December 7, 2022
CMS issued a new proposed rule to streamline prior authorization for medical items and services, and industry leaders have good things to say.
The rule would require certain payers to implement electronic prior authorization, shorten time frames for certain payers, and establish processes that make prior authorization more transparent and efficient.
The new rule would also require payers to provide a specific reason when denying requests. Additionally, it would require decisions to be sent within 72 hours.
The proposed rules would apply to Medicare Advantage organizations, state Medicaid and Children’s Health Insurance Program...
Today's Sponsors
Today's Sponsor