Log in

Start Your Membership Now

The Centers for Medicare & Medicaid Services (CMS) proposed testing a prior authorization model for Medicare Part B fee-for-service (FFS) as a tool to reduce wasteful or inappropriate services. The model targets items and services with a higher incidence of waste, fraud, and/or abusive claims, such as skin and tissue substitutes, electrical nerve stimulator implants, and knee arthroscopy for knee osteoarthritis. The model excludes inpatient-only services, emergency services, and services that would pose a substantial health risk if delayed.

The stated goal is to reduce the use of items and services that may have little to . . .

Want To Read More? Log In Or Become A Paid Member
Resource Available For Paid OPEN MINDS Circle Members Only
Not a paid member? Don't miss out! Sign up today and receive unlimited organizational access to all OPEN MINDS strategic advice, market intelligence, and management best practices – over 250,000 resources!
Log In
If you are already a paid member, log in to your account to access this resource and more. If you are a free member, you will need to upgrade to a paid membership before accessing this resource.

Become A Paid Member
If you are not yet a paid member, learn more about the OPEN MINDS Circle Market Intelligence Service Membership on our website, reach out to our team at info@openminds.com, or call us at 877-350-6463.

Oklahoma