Priors Auths and Fixed Fee Model

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anonymous said:
It’s over boys, prior auths and fixed fee model are coming. It’s been a nice journey here together, and I wish you all luck finding a raft as this ship sinks *plays tiny violin*

CMS to add prior authorization for traditional Medicare services - Becker's Hospital Review | Healthcare News & Analysis
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competitors and OI are being investigated. DOJ is coming for the stolen tax. More law suits and claw backs down the pike.

Try to hide and make posts on socials about how U save lives and limbs. Sickening.
 
anonymous said:
70-80 percent
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In 2026, CMS will pay a single rate across the group—not based on individual ASP.Even bioengineered living cell-based constructs like Apligraf and Dermagraft may be grouped with less expensive acellular materials (e.g., PuraPly or fish/collagen-based matrices), eroding their pricing power.
 
anonymous said:
In 2026, CMS will pay a single rate across the group—not based on individual ASP.Even bioengineered living cell-based constructs like Apligraf and Dermagraft may be grouped with less expensive acellular materials (e.g., PuraPly or fish/collagen-based matrices), eroding their pricing power.
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Where did you find that quote? Do you have a link?
 


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