Medicare Advantage Denials of Care
hhs.gov
Medicare Advantage Denials of Care
A report, Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care (OEI-09-18-00260), showed that Medicare Advantage plans sometimes denied or delayed patients’ access to medically necessary services, even though the requests met Medicare coverage rules.
Apr 28, 2022
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