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.

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 ...

Original Medicare does not typically cover adult day care. Medicare Advantage plans usually have additional benefits that may include adult day care services. Adult day care services are available ...

The new law puts deadlines on prior authorization decisions and puts ... which puts checks on the influence AI has in health care decision-making. He's joined by Rachel Lawlor, seated right ...

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 company will also demonstrate other AI tools aimed at helping automate the prior authorization approval and insurance identification processes. Such revenue cycle management tasks ...

Now with the acquisition of Beeline Rx, Free Market Health is hoping to further streamline the specialty pharmacy space, particularly around prior authorization. Because specialty drugs are so ...

Sen. Tyler Johnson (R-Leo) said some of the other changes focused on ensuring the bill's language worked with health care reform legislation that came out of the House. (Brandon Smith/IPB News) ...

A bill that would prohibit a plan from requiring prior authorization for a patient's first 24 hours of medically necessary inpatient mental health care or substance use disorder care.

AMA Update covers a range of health care topics affecting the lives of physicians ... a bipartisan effort to include a codification of those prior authorization changes in the form of the Seniors ...