Looking Back for the Future: Mitigating Medical Necessity Denials
When a healthcare provider’s medical claim is denied by a health plan, everyone faces negative consequences. In addition to the ...
Home » Centers for Medicare and Medicaid Services (CMS)
When a healthcare provider’s medical claim is denied by a health plan, everyone faces negative consequences. In addition to the ...
Historically, prior authorization has been widely perceived as a burdensome and labor-intensive process that causes friction for payers, providers, and ...
As first proposed in July 2023, and later finalized in November 2023, the Centers for Medicare and Medicaid Services (CMS) ...
For the not long ago launched 28th version of MCG Inpatient & Surgical Care, there have been far more than ...