Group Practices Rate Prior Authorization as Worst Regulatory Burden

The 2022 Annual Regulatory Burden Report by MGMA found that prior authorizations were the largest source of regulatory headaches for executives of group practices. Almost 82% of respondents stated that prior authorizations exacted a high burden on their practices and 89% said that their regulatory burden increased from the previous year. However, this is not the only pressing issue on respondents’ minds.

According to Jacqueline LaPointe, “The No Surprises Act went into effect this year, prohibiting providers from unexpectedly balance billing patients when their insurance does not pay for out-of-network care. The law was designed to protect healthcare consumers from these surprise medical bills, which tend to impose a financial burden. However, complying with the policies and regulations implementing the No Surprises Act is also burdening group practices. In particular, providers are struggling to give ‘good faith estimates,’ or price quotes for all expected charges to self-pay and uninsured patients.”

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(Source: Revcycle Intelligence, October 12^th, 2022)