{"id":16225,"date":"2020-06-11T08:11:55","date_gmt":"2020-06-11T12:11:55","guid":{"rendered":"https:\/\/medicarereport.org\/?p=16225"},"modified":"2020-06-11T08:11:55","modified_gmt":"2020-06-11T12:11:55","slug":"medicare-to-require-prior-authorization-for-certain-outpatient-department-services","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=16225","title":{"rendered":"Medicare to require prior authorization for certain outpatient department services"},"content":{"rendered":"<p>To ensure that Medicare beneficiaries continue to receive medically necessary care \u2013while protecting the Medicare Trust Fund from improper payments and, at the same time, keeping the medical necessity documentation requirements unchanged for providers, Medicare is requiring prior authorization for certain outpatient department services starting July 1, 2020. According to CMS, in order to help control unnecessary increases in these procedures that are likely to be cosmetic surgical procedures and\/or are directly relate to cosmetic surgical procedures that are not covered by Medicare, but may be combined with or masquerading as therapeutic services. Read article <a href=\"https:\/\/www.jdsupra.com\/legalnews\/medicare-to-require-prior-authorization-30226\/\">here\u2026<\/a><\/p>\n<p><a href=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/04\/CMS-logo-2-e1524659904197.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-10228\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2018\/04\/CMS-logo-2-300x150.jpg\" alt=\"\" width=\"300\" height=\"150\" \/><\/a><\/p>\n<pre><strong>Notice:<\/strong> The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org<\/pre>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>To ensure that Medicare beneficiaries continue to receive medically necessary care \u2013while protecting the Medicare Trust Fund from improper payments<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32,6],"tags":[],"class_list":["post-16225","post","type-post","status-publish","format-standard","hentry","category-cms","category-medicare-general"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/16225","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16225"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/16225\/revisions"}],"predecessor-version":[{"id":16226,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/16225\/revisions\/16226"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16225"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16225"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16225"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}