CMS Proposes Major Changes to Prior Authorization
Under a proposed new rule, the Centers for Medicare & Medicaid Services (CMS) will require certain payers to automate their pre-authorization processes, respond more quickly, provide reasons for denials and make certain metrics public, the agency announced Tuesday. If implemented, the proposed rule would require “affected payors” to share pre-authorization decisions within 72 hours for …
CMS Proposes Major Changes to Prior Authorization Read More »
