An IDR win isn't a check. Payers have 30 days to pay, courts won't force them to and CMS admits awards are slipping through.
|Articles|February 17, 2016
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Author(s)Jon Carter
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The price of that prescription might be weighing on your patients' minds, but let them know that by accepting it, they are helping someone in "need."
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Madison Hynes of MGMA explained what practice leaders should watch as electronic prior authorization and Medicaid work requirements arrive Jan. 1.
Medicaid work requirements, new remote monitoring rules and an electronic prior authorization deadline all land Jan. 1, and that's only part of what MGMA told practice leaders to watch.
Hold times, delayed approvals and denials on authorized care dominated member feedback to MGMA's government affairs team.
MGMA is pushing back on any delay as insurers describe a three-step build.
A longtime MGMA analyst outlines the first area of focus to become a top performer.
A delay would leave practices without the information they need to train staff and test workflows before the deadline, the AMA told CMS.
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