RevCycle Intelligence March 29, 2023
By Victoria Bailey

The American Academy of Ophthalmology asked CMS to enforce decision deadlines and clarify denial metric reporting in the Medicare Advantage prior authorization proposed rule.

The American Academy of Ophthalmology (the Academy) has offered recommendations to CMS on the Medicare Advantage prior authorization proposed rule that may help reduce provider burden and improve patient care.

In a letter emailed to RevCycleIntelligence, the Academy commended the agency for trying to simplify the prior authorization process but noted that certain aspects should be changed.

The organization urged CMS to enforce decision deadlines and public reporting of denial metrics.

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Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Provider
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