CMS announces new prior authorization program pilot

The Centers for Medicare & Medicaid Services June 27 the rollout of a 6-year technology-enabled prior authorization program pilot. Through the Wasteful and Inappropriate Service Reduction Model pilot, CMS will partner with third-party entities to implement a technology-based prior authorization program for a specified list of services delivered to patients with traditional fee-for-service Medicare. Under the regionally based model, participating providers will have the choice of submitting prior authorization requests for selected items and services or subjecting their post-service claim to pre-payment medical review.
Related News Articles
Headline
The Department of Justice Aug. 11 announced a series of actions taken against the BlackSuit ransomware group, also known as 鈥淩oyal,鈥 including the disruption鈥
Headline
The AHA Aug. 11 urged the Centers for Medicare & Medicaid Services to prioritize payments to hospitals from the Rural Health Transformation Program. The鈥
Headline
The AHA and Federation of 黑料正能量s Aug. 8 filed an amicus brief in the U.S. District Court for the Eastern District of Texas in support of the U.S.鈥
Headline
The National Institutes of Health Aug. 5 issued guidance to researchers on the use of artificial intelligence for the research application process. According鈥
Headline
President Trump Aug. 7 issued an executive order, 鈥淚mproving Oversight of Federal Grantmaking,鈥 requiring government agencies to review new and discretionary鈥
Headline
The Food and Drug Administration July 31 announced that it is requiring safety label changes to all opioid pain medications to further emphasize and explain鈥