Medicare Advantage organizations (MAOs) frequently deny or delay access to postâacute care services, according to two new reports released by the Department of Health and Human Services Office of Inspector General (HHS-OIG). They found MAOs often apply criteria more restrictive than traditional Medicare and later overturn many of their own
HHS-OIG finds issues in Medicare Advantage prior authorization
Two reports examined prior authorization practices at the three largest Medicare Advantage Organizations across acute care, rehabilitation, and nursing facilities.