The American Medical Association has developed a kit that provides physicians and their office staff with a step-by-step approach to uncovering and appealing claims that have been inappropriately denied or underpaid by health plans.
Potential code for prior authorizations on AMA CPT Editorial Panel meeting agenda
March 28th 2024"Good public and economic policy must align costs, benefits, and incentives; currently, all costs are incurred by physician practices, and all financial savings and benefits from prior authorization accrue to health insurance plans, leading to perverse incentives,” says Alex Shteynshlyuger, MD.