The Centers for Medicare & Medicaid Services (CMS) has been using prior authorization for selected Hospital Outpatient Department (OPD) services ...

Administrative tasks burden today's physicians more than ever before. Obtaining prior authorizations for tests and treatments from payers is one of the leading productivity zappers, an activity which ...

Recondo Technology, a revenue cycle management firm, on Monday launched a new product to automate prior authorizations, effectively eliminating the need for healthcare providers to employ large teams ...

Physicians and payers are vowing to collaborate to help relieve one of doctors’ biggest headaches: obtaining prior authorizations. Six leading health industry groups, including the American Medical ...

Surveyed medical groups reveal burdens have increased in the past 12 months, resulting in delays or denials for necessary care. Despite scrutiny of prior authorization practices in Medicare Advantage ...

Here’s how three ASC leaders are managing prior authorization: Note: Responses were lightly edited for style. Girard Bullaro, administrator at Wellness ASC (McKinney, Texas): As a new ASC and ...

My colleagues and I recently tabulated how long psychiatric patients who were deemed in need of inpatient admission—overwhelmingly because of suicidal thoughts or plans—stayed in the emergency ...

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...

A prior authorization (or preauthorization) is an approval for a prescribed procedure, health care service or medication before you receive the care. If you're enrolled in a TRICARE Prime plan, your ...

While commercial insurers often use prior authorization as a way to control costs, it does the opposite for patients undergoing total hip arthroplasty, according to a study presented at the 2025 ...

While commercial insurers often use prior authorization as a way to control costs, it does the opposite for patients undergoing total hip arthroplasty, according to a study presented at the 2025 ...