In the state capitol Senators discussed a bill that could remove prior authorization from some life saving HIV medication.

In health care, physicians are accountable for outcomes, patient access, satisfaction and costs. However, prior authorization ...

The term "prior authorization" has become reviled on Capitol ... "None of the data had changed in any of those appeals, and I didn't call up any specific lobbyists or any representative to try ...

After going through the “tedious” prior authorization process ... Golden’s practice has developed templates for letters of medical necessity, appeals, and peer-to-peer talking points ...

Prior authorization is a process that involves contacting a person’s Medicare provider to request coverage for a medical service, drug, or piece of equipment. If a person has Original Medicare ...

"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 ...

Before selecting a vendor to aid in prior authorization management, health systems should conduct their own "needs assesment," according to Christine Migliaro, VP of front-end revenue cycle ...

Given these alarming statistics, the End Burnout Group (EBG), a multi-disciplinary group of clinicians and informaticists which we lead, identified prior authorization as a leading root cause of ...

Prior authorization (PA ... However, here are some tips to consider: You also can take a look at a sample Wegovy appeal letter on the drug manufacturer website. You must submit your appeal ...

is pointing to generative artificial intelligence as a potential way for providers to save money on prior authorization, appeals of claims denials and other revenue cycle management tasks.

The California Assembly is considering a bill that would shorten the standard time limit for prior authorization reviews ... A patient could make an urgent request for coverage if the patient ...

Prior authorization programs delay patient care, increase emotional and financial costs on patients, create administrative burdens, increase hospitalizations and cause patient harm. × This page ...