Tennessee SB2020 amends health insurance practices, prohibiting downcoding without clinical review, requiring prior authorization for certain.
Tennessee SB2020 amends Tennessee Code Annotated, Title 56, Chapter 7, to revise health insurance practices. It prohibits health insurance entities from downcoding claims without clinical review by a licensed physician or healthcare professional. The bill also mandates prior authorization for certain services, such as antineoplastic cancer treatment, while exempting others like opioid use disorder treatment drugs.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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