This Nov. 8, 2018 file photo shows a page from the 2019 U.S. Medicare Handbook in Washington. Photo: Pablo Martinez Monsivais/AP
The Centers for Medicare & Medicaid Services’ (CMS) has recently demonstrated a focus on promoting patient care by removing unnecessary obstacles to prior authorization. Prior authorization is a payer-established process that requires healthcare providers, such as hospitals, clinics, or doctors, to obtain advance approval of products and services to be paid by insurers.
The comment period closed for CMS’s proposed new rule regarding prior authorization of healthcare services and products (87 Fed. Reg. 76238) closed on March 13, 2023.
