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Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and...
Prior authorization, a fancy term for your doctor needing to gain approval from your health insurance company before doing a medical procedure, has typically been a heavily manual process involving lots of steps, reviews and people having to work together. Seeking approval from the insurance company is meant to prevent unnecessary procedures and keep healthcare costs down; however, the lengthy process of prior authorization often leads to delayed or even abandoned care. In an effort to fix this, the Centers for Medicare & Medicaid Services (CMS) issued a proposal in February designed to...
Two spine surgeons discuss the competition between private practices and hospitals in their markets.
HISTORY OF MEDICARE ADVANTAGE
ASC's must overcome labor shortages, Medicare payer issues, and prior authorization problems to remain successful.