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Medicare Advantage Prior Authorization Denials and Payment Denials

Department of Health and Human Services Office of Inspector OIG released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations MAOs, report ignores MAOS's provide access to medically necessary services. ....

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HHS OIG Report On Prior Authorizations Under Medicare Advantage | Sheppard Mullin Richter & Hampton LLP

Last month, the U.S. Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare. ....

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CMS Begins Option to Extend Medicaid Postpartum Coverage | Sheppard Mullin Richter & Hampton LLP

On April 1, 2022, the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan. ....

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CMS Extending Medicaid Postpartum Coverage

Centers for Medicare & Medicaid Services CMS says states may seek to extend Medicaid postpartum coverage to one year beyond the initial 60 days through the American Rescue Plan Act ARPA. This option is available for five years and ends on March 31, 2027. ....

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Thompson Coburn strengthens national appellate practice with Dallas addition of Justice Douglas Lang

Thompson Coburn strengthens national appellate practice with Dallas addition of Justice Douglas Lang. ....

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