Verma: Lack Of Medicare Prior Authorization Leads To Improper Pay, Waste

CMS Administrator Seema Verma on Tuesday (Oct. 16) lamented CMS' lack of adequate legal authority to conduct Medicare prior authorization reviews that are routine in the private sector, coming as American Medical Association President Barbara McAneny told reporters that prior authorization can cause major disruptions to care and contributes to providers' administrative burden. “The Medicare program has extremely low administrative costs, but this isn’t exactly something to brag about. The reality is we aren’t focusing enough on critical program oversight...