Prior authorization requests for dates of services beginning July 1, 2020, will be accepted by MACs starting June 17, 2020. The standard review timeframe is ten business days from the date the ...

The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional ...

After determining that prior authorization applies in a specific situation, he follows a process that he shared with me. Find a copy of your insurance company’s form or process. Check the ...

CMS is not proposing payers must use implementation guides for the installation of APIs, which was a requirement in the 2020 rule. The agency conceded that while the guides will “play a critical ...

RELATED: How Regence took a tech-enabled approach to overhauling prior authorization Prior to using electronic prior authorizations, 17% of decisions were received in less than two hours. That ...

The Centers for Medicare & Medicaid Services has finalized its prior authorization rule – and insurers have to provide a specific reason for denying an urgent medical service request, as well as ...

Last year, only 26% of the provider groups UnitedHealthcare works with submitted more than one prior authorization request, Docimo said. "It may be perceived as prevalent, but it's not required in ...

UnitedHealthcare recently announced that beginning June 1, 2023, commercial plan members will be required to obtain prior authorization for gastroenterology endoscopy services. By far the largest ...

Prior authorization, when done right with true peer-to-peer conversations, can be good for doctors and their patients. ... To submit a correction request, please visit our Contact Us page.