Nearly all those who have Medicare Advantage plans must deal with prior authorization. Now more prior authorization issues ...

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.

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

A CMS spokesperson said in a written statement that the agency is “committed to cutting down on unnecessary delays” for ...

The policy, CMS-1717-FC from the federal government, requires that patients with Medicare receive prior authorization to undergo these surgical procedures at hospital outpatient surgery departments.

CMS has published its final rule for Medicare Advantage and Part D in ... several changes — including measures to streamline prior authorization, tighten oversight of supplemental benefits ...

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 ...