The Centers for Medicare & Medicaid Services recently published a final regulation establishing a new set of rules that O&P providers can use to challenge Medicare Advantage (MA) denials of coverage. The National Association for the Advancement of Orthotics and Prosthetics (NAAOP) is hosting a free webinar on April 4, to explain the new regulations in detail and give participants tools to help ensure their MA patients get better access to O&P care.
The webinar will be free of charge as a member benefit.
The new regulations:
- Create new procedures to prohibit misuse and abuse of prior authorization
- Require that MA plans use traditional Medicare coverage criteria
- Prohibit the use of internally developed coverage guidelines in key situations
- Require transparency when MA plans create coverage standards of their own
- Ban MA coverage algorithms and software that do not account for individual patient needs
- Require MA denials to be approved by a physician or other qualified professional
Active questions and answers will be encouraged during the webinar.
To register, visit NAAOP’s invitation process.
