Becker's Healthcare January 5, 2023
Here are 12 updates in the last year about prior authorizations, one of the biggest burdens for ASC leaders.
1. In December, CMS issued a new proposed rule to streamline prior authorization for medical items and services.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.
2. Seventy-nine percent of medical groups said that payer prior authorization requirements increased in the last year, according to a March poll conducted by the Medical Group Management Association.
3. Many ASC leaders say prior authorization is one of the biggest issues in the industry.
“My biggest industry concern is the ever increasing barriers...
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