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 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 ...