SUGGESTED for you The newly finalized rule now requires Medicare Advantage plans to do the following: Ensure that a prior authorization approval, once granted, remains valid for as long as medically necessary to avoid disruptions in care; Conduct an annual review of utilization management policies; ...
An effective way to cut down on overuse of potentially harmful imaging, or a prior authorization-esque burden on physicians who order needed tests? Texas physicians see Medicare's "appropriate use" system for advanced imaging both ways. As of Jan. 1, physicians ordering advanced imaging tests fo...