MGMA to CMS: Address prior authorization challenges

12/05/2019 10:13 AM | Rebekah Francis (Administrator)

MGMA submitted comments to the Centers for Medicare & Medicaid Services (CMS) in response to the agency’s request for information on Medicare’s use of prior authorization. CMS is exploring the possibility of expanding the use of prior authorization for the Medicare program in an attempt to decrease cost. The Association highlighted the many administrative burdens physician practices face in meeting health plan prior authorization requirements and emphasized that these processes can delay or deny care to patients. MGMA recommended that Medicare limit any expansion of prior authorization, reduce the volume of prior authorization through exempting physicians who meet established clinical guidelines, and automate prior authorization in the limited situations when it is required.


To develop and equip our members to create dynamic, successful medical group practices.


To be the recognized leader in defining and supporting the profession of medical practice management in Tennessee.


PO Box 380963
Birmingham, AL 35238

(573) 556-6111

Our Sponsors

Copyright 2020, |