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 ...

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 ...

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 ...

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 ...

Remember that physician who wanted to develop a Current Procedural Terminology (CPT) code for prior authorizations? It hasn't happened yet, but he hasn't given up on it, either. In May, Alex ...

Nearly 99% of Medicare Advantage patients are required to obtain prior authorization for certain services. KFF published an Aug. 8 report breaking down key statistics on Medicare Advantage patients ...

Please provide your email address to receive an email when new articles are posted on . UnitedHealthcare recently announced that beginning June 1, 2023, commercial plan members will be required to ...

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 ...