Question

Is Medicare payor source order or authorization driven?

A. Order driven
B. Authorization driven
C. Both order and authorization driven

Answer 1

Medicare payor source is authorization driven, requiring prior authorization for certain services and procedures to control costs.

Step-by-step explanation:

Medicare payor source is authorization driven. Medicare requires prior authorization for certain services and procedures to ensure proper utilization of resources and cost control. For example, before a patient can undergo a costly surgery, Medicare may require the healthcare provider to obtain authorization to ensure the necessity and appropriateness of the procedure.