Topic
Prior Authorization
53 published works
Health Industry Washington Watch
CMS Delays Recovery Audit Prepayment Review, Power Mobility Device Prior Authorization Demonstrations
On December 29, 2011, CMS announced it is indefinitely delaying implementation of its controversial Recovery Audit Prepayment Review demonstration and the separate Prepayment Review and Prior Authorization for Power Mobility Devices…
Med Law Blog
Highmark Expands Preauthorization List
Highmark Blue Shield has expanded its list of procedures requiring pre-authorization. The full list of procedures is available on the Highmark Resource Center website: https://www.highmarkblueshield.com/pdf_file/rc-hbs-auth-code-update-april-2007.pdf It includes a significant number of…
Med Law Blog
Highmark Prior Authorization Requirement For Diagnostic Imaging: April 1, 2006
The Highmark Blue Shield Prior Authorization requirement for enumerated diagnostic imaging procedures will become effective April 1, 2006. The Prior Authorization Guide (Guide) is available on the Highmark Provider Resource…