Physicians aren’t the only ones who see prior authorization (PA) practices as a significant problem, but John Brooks, deputy administrator at CMS, told a med tech audience that a renewed focus on ...

The North Carolina House passed the CARE FIRST Act on Thursday, described as a life-saving piece of legislation that will ...

The stated objectives of prior authorization (PA) are to reduce unnecessary care and costs. However, as a 2022 Department of ...

Rep. Mark Green, MD, of Tennessee has reintroduced legislation taking aim at prior authorization requirements in Medicare, Medicare Advantage and Part D prescription drug plans. Five things to ...

The initiator of a pay transaction request may be an employee, a manager or an individual working in human resources. The initiator is responsible for determining if documentation needs to be sent to ...

CMS Rule 0057 requires health plans to develop and support FHIR-based APIs to enable electronic prior authorization (ePA). Whether return on this investment stops at ...

There’s been a lot of noise around this topic recently. We don't want to come out and say, "let me just explain prior auth to you." What we're trying to do is say, "We know we can be better.

New UB employees should use this form to request reimbursement for approved expenses when transporting themselves, their families, and household goods and personal effects to their new place of ...