November 20, 2019: MGMA submits comments to CMS on prior authorization

Advocacy Letter

Medicare Payment Policies

November 20, 2019

The Honorable Seema Verma
Administrator
Centers for Medicare & Medicaid Services
Hubert H. Humphrey Building
202 Independence Avenue, S.W., Room 445-G
Washington, D.C. 20201

Re: Center for Program Integrity. Request for Information on the Future of Program Integrity

Dear Administrator Verma,

The Medical Group Management Association (MGMA) is pleased to submit the following response to the Centers for Medicare & Medicaid Services’ (CMS’) Center for Program Integrity Request for Information on the Future of Program Integrity. We applaud the Agency for reaching out to the industry to identify opportunities to improve program integrity. We caution CMS, however, that decreasing access to care for Medicare beneficiaries and increasing provider burden through the imposition of challenging prior authorization requirements is not the appropriate pathway to promoting integrity in the Medicare program.

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