Prior authorization could stand between you and your doctor’s care and here's what it really means, how delays happen and what do if you’re denied

"Medically necessary" is often a four-letter word for patients.
Healio

Strategies enable greater success in prior authorization requests

Please provide your email address to receive an email when new articles are posted on . Be meticulous in checking the accuracy of your applications before submitting them. Use resources from the ACAAI ...
HealthLeaders Media

How Rev Cycle Leaders Leverage Automated Prior Auth Solutions

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 ...
TCTMD

Maze of Prior Authorization for PCSK9 Inhibitors Poses Challenge to Prescribers

Prior authorization requirements for PCSK9 inhibitor prescriptions are more cumbersome than those in place for other cardiometabolic drugs, a new study demonstrates. The complex processes are seen for ...
Healio

Prior authorization requirements substantial for PCSK9 inhibitors

Please provide your email address to receive an email when new articles are posted on . PCSK9 inhibitors required more prior authorization requirements compared with other drugs for cardiometabolic ...
JD Supra

Texas Adopts Standard Prior Authorization Form

In an effort to reduce the number of different prior authorization forms with which providers must contend, the Texas Department of Insurance (TDI) has adopted a single, standard form for requesting ...
Becker's ASC

‘Patients should flee from UnitedHealthcare’ amid changes to prior authorization, says 1 gastroenterologist

UnitedHealthcare, an insurer of 45 million patients worldwide, has announced changes to its prior authorization requirements for gastroenterology care, set to take effect June 1. New requirements will ...
California Healthline

Prior Authorization Requirements of Medicare Drug Benefit Examined

The New York Times on Tuesday examined how some physicians and pharmacists maintain that many medications covered by Medicare prescription drug plans are "not readily available" to beneficiaries ...
Becker's ASC

UnitedHealthcare to cut prior authorization usage by 20%

UnitedHealthcare plans to cut back on its use of prior authorization, removing procedures and medical devices from its list of services requiring signoff and reducing the number of authorizations from ...