There were two major announcements recently regarding prior approval of treatments and services for Medicare beneficiaries.
In most medical insurance, many treatments won’t be covered unless it is approved first by the insurer. It’s been a source of controversy for some time.
Original Medicare hasn’t required prior authorization of treatments and services, with a few exceptions. For most care, providers and the patient agree on a treatment. After the treatment, paperwork for approval and payment is submitted to Medicare.
Medicare recently announced a new model program that will test pre-approval.
The voluntary model program will test…
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