Last week, the Government Accountability Office (GAO) published a report determining that there is a nontrivial risk that prior ...

In healthcare, insurance companies use prior authorization (PA) to determine whether a prescribed treatment, medication, or ...

Prior authorization specialists spend hours chasing down documentation, submitting forms and checking for updates. Billing teams reconcile denials long after the fact for consultative care ...

Motive Still Unclear Officials have not yet revealed a possible motive or whether Olson-Hartley had any prior mental health concerns, but they did say that the 911 call was treated as a mental ...

If a person’s Medicare plan requires prior authorization, their doctor will typically take responsibility for submitting the request. A person may need to complete certain forms beforehand.

Prior authorization programs delay patient care, increase emotional and financial costs on patients, create administrative burdens, increase hospitalizations and cause patient harm. × This page ...

Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts ...

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans requiring only ...

If you or someone you know has experienced the frustration of a delayed medical procedure or a denied prescription due to prior authorization, you’re not alone. That’s why Indiana lawmakers ...

In addition to concerns about AI, the survey revealed concerns about delays in care, health care costs, and physician burnout. Most physicians surveyed expressed concern that health insurance ...

According to a new survey from the American Medical Association (AMA), 3 in 5 physicians (61%) are concerned that health plans’ use of AI is increasing prior authorization denials ...

Indiana State Sen. Tyler Johnson (R-Leo) has again authored a bill in the Indiana General Assembly that would put some reins on “prior authorization” for medical services and prescriptions by ...