Radiology Business August 15, 2024
A California-based health insurer is eliminating prior authorization for 50% of radiology CPT codes as it aims to reduce administrative burden and increase efficiency.
L.A. Care Health Plan announced the move on Aug. 7, noting that it is removing 24% of existing codes from the overall PA list. The “largest publicly operated health plan in the country,” L.A. Care said it pinpointed codes to exclude after an “extensive review” of historical utilization approvals.
“There is a place for prior authorization. It provides crucial timely information, ensures patient safety and minimizes fraud,” CEO John Baackes said in an announcement. “But L.A. Care understands that it shouldn’t be used as a cost-control mechanism, or as a way to delay or deny appropriate...
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