One physician is making the case that prior authorization for procedures should be reported to insurance plans as a CPT code—though that proposal has been withdrawn for now. Alex Shteynshlyuger, M.D., ...
Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed ...
PLANO, Texas, Aug. 20, 2025 /PRNewswire/ -- ZeOmega®, the leading population health management organization, today announced the launch of Smart Auth Optimizer, a machine learning-powered prior ...
The new Medicare initiative would apply to claims for procedures such as steroid injections for pain management, electrical nerve stimulator implants, skin and tissue substitutes, devices for ...
Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back. The tug-of-war between providers and payers over prior authorizations is a consistent and ...
Christine Migliaro of Northwell Health offers a reality check on prior auth automation, detailing the challenges from ROI and user adoption to the emerging threat of payer "bot blockers." While ...
Health insurers covering more than 250 million Americans recently unveiled a sweeping plan to streamline and reduce prior authorization requirements — a pledge met with cautious optimism by revenue ...
Everyone’s talking about AI in healthcare — but in revenue cycle management, confusion remains about what it actually does. For RCM and finance leaders, the key question is: What makes an AI solution ...
Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...
New solution delivers real-time, unlimited eligibility verification and helps practices prepare for CMS’s 2026 mandate. SPRY Therapeutics Inc. today announced the launch of the SPRY Prior ...
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Federal officials push for prior auth reform
The Trump administration has promised to reduce the burden of prior authorizations, but experts say there is no easy solution. Prior authorizations, where insurers must approve certain medical ...
SAN DIEGO -- Prior authorization (PA) requirements for patients undergoing primary total hip arthroplasty did not reduce costs, but did delay procedures, according to a prospective, single-center ...
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