Page 9 - Prior Authorization News Today

KLAS surveyed 35 revenue cycle leaders to find out the most common area they are planning to invest in automation in the next 12-24 months.

Experts compare approaches to prescribing biosimilars over reference drugs.

Baptist Health is using AI solutions to automate physician-patient responses and prior authorizations, reducing administrative burden and helping physicians foc

CMS proposed a new rule that would set a flat amount — $632 — that MA plans can pay agents and brokers when they help enroll a person into any MA plan. The proposed rule also addresses behavioral health access and prior authorization.

Joseph M. Coney, MD, FACS, explores strategies to address treatment obstacles among vulnerable patients and examines the effects of step therapy and prior authorization within a complex health care landscape.

UnitedHealthcare is removing several orthopedic & spine codes from prior authorization requirements, but physicians report negative outcomes. Dr. Thongtrangan s

UnitedHealthcare is eliminating 20% of its prior authorization requirements for procedure codes as of Nov. 1, affecting Medicare Advantage, commercial, Oxford,

Olive AI, a healthcare RCM company, is selling off its units to Waystar and Humata Health and shutting down. It had raised $848 million in venture capital

Explore the future of gastroenterology through the eyes of three experienced physicians.

Contract negotiations between payers and providers are becoming more public, and the number of communities affected across the country is growing. FTI Consultin