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WF-A7ZD0L

One Medicare AI Prior Authorization Request Went Unanswered for 83 Days as Vendors Often Missed the 72-Hour Standard - Medical Daily

WISeR vendors failed to respond to Medicare prior authorization requests on time, delaying procedures for patients, including one request that went unanswered for 83 days.

Organisation involved
Centers for Medicare & Medicaid Services (CMS)
Product, system or model
WISeR (Wasteful and Inappropriate Service Reduction) model
Where this came from
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This is a record of what was reported, not a finding that anyone broke the law. If it names your organisation and you believe it is wrong, the corrections process is free and open to everyone.