UPDATE
Legislative Update
Cover Story: LSMS Council on Legislation votes to seek legislative remedies for prior authorization issues. The LSMS Council on Legisla Ɵ on (COL) met on February 13 to discuss the upcoming legisla Ɵ ve session and our agenda. Joining COL members were members of the LAMPAC Board and the LSMS Board of Governors. Sta ff briefed the group on expected legisla Ɵ on before discussing what—if any— legisla Ɵ on LSMS should consider reques Ɵ ng. Following a very robust conversa Ɵ on surrounding the increased problems related to prior authoriza Ɵ on, sta ff was directed to request authors for two pieces of legisla Ɵ on: 1. Requiring that peer reviews of denied prior authoriza Ɵ ons for medical care be conducted by a Louisiana licensed physician in the same specialty as you. 2. Crea Ɵ ng a guarantee of payment for services provided with prior authoriza Ɵ on. Legisla Ɵ ve authors for both bills have agreed to push the issue. This will be a big ask, and we will need everyone of you who has been impacted to assist. We will push out Calls to Ac Ɵ on, but please DO NOT WAIT...start now by communica Ɵ ng to your legislator that prior authoriza Ɵ on has only go Ʃ en worse and that you need relief. Furthermore, it is impera Ɵ ve that we have hard copy evidence of services that were authorized and subsequently not paid. Please send (pa Ɵ ent data redacted) copies of your authoriza Ɵ ons, claims and denials to gova ff airs@lsms.org.
Engage Your Patients! Your patients are the ones who suffer most due to prior authorization. Please download the flyer at right to assist them in communicating their experiences with their legislators. Member Resource
2
Made with FlippingBook Digital Publishing Software