Archive for: prior authorization

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Payment Innovation: Other

CMS Releases HCPCS Codes for Certain Outpatient Services Requiring Prior Authorization

CMS released the list of hospital outpatient department services and the HCPCS billing codes that will require prior authorization provided after July 1, 2020.

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Prescription Drug: Regulation

CMS Releases Final Part D Rule

On May 16, 2018, CMS released the final Part D and Medicare Advantage rule aimed at lowering drug prices.

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