Fraud & Abuse:
Prior Auth Not A Good Fraud-Fighting Tool, Commenters Insist
Published on Thu Apr 14, 2016
If Medicare wants to adopt stiffer fraud-fighting activities, it should at least choose ones that work — and that won’t be prior authorization for home health services. So said many commenters on the Centers for Medicare & Medicaid Services’ Feb. 5 proposal for a prior auth demo in five states (see story, p. 114). “Requiring a prior authorization in order [...]