California bill would exempt some physicians from prior authorization

A California bill that would exempt physicians from prior authorization rules if they have practiced within an insurer’s plan’s criteria 80 percent of the time has passed the Assembly Health Committee, according to a recent report from the California Medical Association.

Advertisement

The bill would also ​​prohibit payers from requiring an appeal of a prior authorization request to be filed before filing an independent medical review.

The bill now heads to the Assembly Appropriations Committee, according to the June 29 report.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

160 ambulatory leaders just ranked the EHR as the single system most overdue for AI reinvention

Tuesday, August 11
12:00 PM - 1:00 PM CDT

Presenter: Gautam Shah, MBA, FACHDM, NextGen Healthcare

Advertisement

Next Up in ASC News

Advertisement

Comments are closed.