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A proposal aimed at streamlining prior authorization through CPT codes was recently withdrawn after the American Medical Association revealed that prior authorization is already specified in the long descriptions of certain CPT codes—information rarely accessed by physicians. A Fierce Healthcare piece by Noah Tong emphasizes the need for better access to and understanding of these descriptions to ensure proper billing and reimbursement. The AMA is working to publish new resources on its website to help physicians better understand the codes and provide answers to coding and billing questions. https://hubs.la/Q02FHnPk0

House Republicans calling for investigation into improper ACA enrollment

House Republicans calling for investigation into improper ACA enrollment

fiercehealthcare.com

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