Prior auth response time not a done deal

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Thursday, January 7, 2016

WASHINGTON – HME providers can breath a little easier when it comes to CMS’s proposed time frame for responding to prior authorization requests, says AAHomecare. Originally, the agency said responses to prior authorization request would be issued within 10 business days, or two days for expedited requests. AAHomecare argued that the responses need to be completed within 24 hours, or two hours for expedited requests, to meet patient needs.Fortunately, CMS has now said it will not finalize its original time frame for responding to prior authorization requests, according to the association.