Medical Associations Ask CMS To Pause New Prior Auth Requirements

The American Medical Association joined dozens of specialty physician groups and patient advocates on Wednesday (April 7) in asking CMS to delay its decision to require prior authorization for two service areas under the calendar year 2021 Medicare hospital outpatient prospective payment rule and to put off any future prior authorization policies until more data are collected. The groups note the rule came just months after CMS implemented prior authorization for five new services in 2020, and they worry this...