The American Academy of Ophthalmology has urged CMS to suspend Medicare Advantage prior authorization processes due to the delays they create for cataract surgeries and routine services.
The AAO supports attempts by CMS to simplify prior authorization (PA) processes but is concerned by “the solicitation for comments on if and how the approach to prior authorization within the Rule could be applicable under Medicare fee-for-service.”
“We ardently oppose prior authorization under Medicare fee-for-service and urge CMS to suspend any existing PA policies on services not mandated