The Centers for Medicare & Medicaid Services said it has updatedand improved its process for making Medicare coverage decisions. A noticepublished in the Federal Register on Sept. 26 incorporates lessons learnedover the past 3 years and implements certain requirements of the Medicare,Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000.
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.