Medicare Prior Authorization Program

Medicare has adopted a new prior authorization program effective July 1st. Also, as of June 17th, the Medicare Administrative Contractors (MACs) were required to start accepting requests.

It is important to note that this is a nationwide program, however, it relies on the local decisions of the MACs. If you put their medical necessity standards next to each other, there are significant differences.

Terry discusses the things you need to know about the program: the procedures that are affected, Part A and Part B Reimbursement implications, and more.

Terry will also talk about capturing revenue in the event of a no-show.

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