MGMA Says New Federal Prior Authorization Rule Will Reduce Doctors’ Burden, Improve Patient Care

Health insurers participating in federal programs, including Medicare Advantage and Medicaid, must now respond to expedited prior authorization requests within 72 hours and other requests within 7 days under the long-awaited final rule, released on January 17 by Centers for Medicare & Medicaid Services (CMS).

The final rule “is an important step forward” toward the Medical Group Management Association’s goal of reducing the overall volume of prior authorization requests, said Anders Gilberg, the group’s senior vice president for government affairs, in a statement.

Source: https://www.medscape.com/viewarticle/new-federal-prior-auth-rule-will-reduce-doctors-burden-2024a100018h