CMS to host calls on new prior authorization initiative

05/09/2019 11:06 AM | Rebekah Francis (Administrator)

The Centers for Medicare & Medicaid Services (CMS) will host a series of open-door forum calls outlining a new initiative to develop a Medicare Fee for Service (FFS) Documentation Requirement Lookup Service (DRLS) prototype. MGMA serves on the DRLS workgroup. The first call will be held Tuesday, May 14, 2019 from 2:00 - 3:00 p.m. ET and will permit physician practices and others to provide feedback on this initiative. The goal of the DRLS is to improve "provider to payer" information exchange and thereby reduce provider burden. The prototype will allow practices to discover at the time of the patient encounter and within their EHR or practice management system: 

ยท     If Medicare FFS requires prior authorization for a given item or service; and

Documentation requirements for Oxygen and Continuous Positive Airway Pressure (CPAP) Devices. 

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