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Denial of Insurance Coverage Medicare Advantage Organizations (MAOs)

Davis Wright Tremaine LLP

The Two-Midnight Rule as a Sword but Not a Shield?

For over a decade, the two-midnight rule has served as an important determinant of whether a hospital inpatient stay is reimbursable by Medicare, as well as a measure of protection for hospitals that treat patients over...more

Ankura

Medicare Advantage Organizations' Denials of Some Prior Authorization Requests Raise Concerns

Ankura on

In the Office of the Inspector General's latest report released in April of 2022, the denials of some prior authorization requests by Medicare Advantage Organizations (MAOs) raise concerns about beneficiary access to...more

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