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Medical Group Management Association

Jan. 15, 2021: MGMA statement on CMS Interoperability and Prior Authorization final rule

Advocacy Statement - January 15, 2021

Medicare Payment Policies

Federal Compliance

FOR IMMEDIATE RELEASE CONTACT: Chad Clinton
January 15, 2021 202.262.1067; cclinton@mgma.org
 
MGMA statement on CMS Interoperability and Prior Authorization final rule
 

Anders Gilberg

Senior Vice President, Government Affairs

Medical Group Management Association
 
 
MGMA views this final rule as a huge, missed opportunity to address prior authorization, the top administrative burden facing the nation's medical group practices. By excluding Medicare Advantage, Medicare fee-for-service, and most commercial payers the rule will do little to address widespread health plan abuses that delay and deny patient care. This failure will require practices to continue deploying multiple, manual prior authorization workflows, including using phone, fax, and payer web portals.
 
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