Payers in 2024 initially denied 11.8% of dollars associated with hospital-based claims, according a report from consultant ...

On Wednesday, a slew of bipartisan lawmakers reintroduced a bill that would overhaul the prior authorization process for seniors enrolled in Medicare ...

The AHA May 21 voiced support to Senate and House sponsors of the Improving Seniors’ Timely Access to Care Act, legislation ...

Before selecting a vendor to aid in prior authorization management, health systems should conduct their own "needs assesment," according to Christine Migliaro, VP of front-end revenue cycle ...

One survey found that 94% of physicians believe prior authorization leads to delays in care, while 89% say it has a negative impact on clinical outcomes. The simple truth is that the modern form ...

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Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those problems.

The Boston-based company, which was founded in 2019, aims to fix the inefficiencies and administrative burden associated with the traditional prior authorization process. By streamlining this ...

Biden Jr. was diagnosed on Friday with an aggressive form of prostate cancer that has spread to his bones, his office said in a statement on Sunday. The diagnosis came after Mr. Biden reported ...

The FDA originally approved Otulfi as a biosimilar in October 2024 based on clinical data that demonstrated the product was ...

Nearly all those who have Medicare Advantage plans must deal with prior authorization. Now more prior authorization issues are appearing with Part D prescription drugs.