Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the ...

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 ...

While the final rule solidifies several changes — including measures to streamline prior authorization, tighten oversight of supplemental benefits and codify provisions from the Inflation ...

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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 ...

Therapists say insurers repeatedly require prior authorization, demanding a new request every ... making her more reliant on outpatient therapy, according to records shared by her mother, Megan ...

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans requiring only ...

The bill would also ban insurance companies from using artificial intelligence as the “sole basis” for denying requests for prior authorization of treatment.

Their efforts led to the nation's first scalable prior authorization automation technology. Prior to this achievement, outpatient prior authorization requests averaged a turnaround time of 1-5 ...

4x faster trend analysis to identify utilization pattern changes and outliers "Health plans want to support providers in delivering appropriate patient care and reducing abrasion," notes Cohere ...