Tag: prior authorization

CMS Releases HCPCS Codes for Certain Outpatient Services Requiring Prior Authorization

The Centers for Medicare and Medicaid Services (CMS) released the list of hospital outpatient department services and the Healthcare Common Procedure Coding System (HCPCS) billing codes that will require prior authorization provided after July 1, 202...

CMS Issues RFI on Patients over Paperwork Initiative

On June 6, the Centers for Medicare and Medicaid Services (CMS) issued a Request for Information (RFI) seeking new ideas from the public on how to continue the progress of the Patients over Paperwork initiative. Launched in 2017, the Patients over Pa...

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. On May 16, 2018, the Centers for Medicare and Medicaid Services (CMS) released the final Part D and Medicare Advantage (MA) rule aimed at low...