Medical Necessity Denial Trends and Payer Clinical Criteria Divergence
Payers apply their own clinical criteria, not CMS standards, driving divergent denial rates.
Omar Moreau
Staff Writer
Omar Moreau is a staff writer at Claims Current covering denial trends. Based in Bangalore, Omar has written for Claims Current since 2017.
1 story · Bangalore
Payers apply their own clinical criteria, not CMS standards, driving divergent denial rates.