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 (PA ... Identifying the reason for a denial will help form an effective appeal request. Your health insurance provider must respond with an explanation for the denial.

The time-wasting, care-delaying, insurance company cost-control process known as prior authorization has gone from a rarely employed tool to discourage use of extremely pricey interventions to a form ...

The time-wasting, care-delaying, insurance company cost-control process known as prior authorization has gone from a rarely employed tool to discourage use of extremely pricey interventions to a form ...

Rep. Dr. Greg Murphy (R-N.C.) hopes his personal ordeal with prior authorizations will help inspire Congress to act.

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

Hawaii’s chronic shortage of health care professionals has plagued our state for decades. On the neighbor islands, we need nearly twice as many doctors as we currently have to provide adequate access ...

Columbia University student Mohsen Mahdawi, who was arrested by ICE agents following his citizenship interview, has been ...

"We exist to solve prior authorization so patients can get the care they deserve," says Dr. Jeremy Friese, founder and CEO of Humata Health. Friese joins Bloomberg Intelligence healthcare analyst ...

AHN is the first health system to implement the fully automated, touchless prior authorization process, according to an April 28 news release. By entering a procedure order into the EHR, AHN can now ...

Plenful has developed an AI platform that helps providers with prior authorization, 340B compliance and auditing.

By simply entering an order for a procedure into an electronic health record (EHR), AHN can now receive prior authorization from payers without any other human intervention, thanks to Humata’s ...