When billed together or in an dr office known as a place of service - POS. The edits will deny specific codes unless a prior authorization - PA is obtained. Reg Medicare NEVER had PA requirements. HMO's have always had PA requirements.
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It's another layer for the consumer - mainly old folks will have to navigate. This is exactly what HMO's do to make $. Medicare will do it to SAVE $ off of the backs of old folks. I bet many of them voted for this piece of shit. You'll soon have to navigate through this. It will AFFECT YOU!
aug 31, 2025, 2:43 pm • 1 0 • view