Ama Policy

Preauthorization for Payment of Services H-320.961

Retroactive Denial

Our AMA supports legislation and/or regulations that would prevent the retrospective denial of payment for any claim for services for which a physician had previously obtained authorization, unless fraud was committed or incorrect information provided at the time such prior approval was obtained.

Policy Timeline

Res. 701, I-92 Reaffirmed by Res. 723, A-95 Modified by Sub. Res. 704, I-96 Reaffirmed: CMS Rep. 5, I-00 Reaffirmation I-04 Reaffirmed: CMS Rep. 1, A-14 Reaffirmed: CMS Rep. 07, A-16Reaffirmed: CMS Rep. 08, A-17 Reaffirmed: CMS Rep. 4, A-21 Reaffirmation: A-22