CMSDHS -OIGHHSMedicare AdvantagePrior Authorization

OIG to probe whether Medicare Advantage plans deny post-acute care

(By Rylee Wilson for Becker’s Hospital Review)

HHS’ Office of Inspector General will audit Medicare Advantage plans’ use of prior authorization in post-acute care settings.

In a notice issued in June, the government watchdog said it plans to audit processes for reviewing prior authorization requests in post-acute care settings, including long-term acute care hospitals, inpatient rehabilitation facilities and skilled nursing facilities. Continue reading here…

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