Medicare Prior Authorization List 2025. The 2025 medicare hospital outpatient prospective payment system and ambulatory surgical center payment system sets the physician fee schedule conversion factor for 2025 at. Check out our interactive guide for important things you need to know about our medicare advantage plans,.
In recent years, there have been increasing calls for reforms related to ma prior authorization, utilization management, and coverage decisions. The services and items listed below require prior authorization on all devoted health plans.