Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's what you need to know.

Prior authorization delays and denials often stem from incomplete or mismatched ICD-10 coding and documentation. By aligning diagnosis codes precisely with procedures and payer rules, providers can ...

Prior authorizations, one of health insurers’ many “utilization management” techniques, is a hot topic amongst practicing physicians, patients, and regulators, to name a few. The prior-authorization ...

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Prior authorization is a growing challenge in ophthalmology, slowing down care and creating both clinical and financial risks. From cataract surgeries to urgent retinal injections, delays in approval ...

ORLANDO -- The healthcare industry hasn't eliminated the hassles for providers that prior authorization often entails, but they're getting closer, several speakers said here at Healthcare Information ...

UnitedHealthcare, an insurer of 45 million patients worldwide, has announced changes to its prior authorization requirements for gastroenterology care, set to take effect June 1. New requirements will ...

In an effort to reduce the number of different prior authorization forms with which providers must contend, the Texas Department of Insurance (TDI) has adopted a single, standard form for requesting ...

New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment. PHILADELPHIA, PA, UNITED STATES, January 27 ...

Please provide your email address to receive an email when new articles are posted on . PCSK9 inhibitors required more prior authorization requirements compared with other drugs for cardiometabolic ...