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Stakeholders Watching Prior Auth In Fee-For-Service Following CMS Proposal

By Michelle M. Stein
August 13, 2019 at 3:18 PM
Analysts at McDermott Will & Emery say that some health care watchers believe prior authorization-like programs will become increasingly common in fee-for-service Medicare after CMS proposed adding prior authorization to certain hospital procedures in the proposed outpatient hospital rule for 2020, though stakeholders note those requirements are for a fairly small and specific set of circumstances. CMS proposed to set up prior authorization requirements under Medicare fee-for-service for five categories of services with both cosmetic and therapeutic indications: blepharoplasty, botulinum...


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