Beginning Jan. 1, 2026, 17 medical procedures will require prior authorization for patients under the traditional Medicare ...

The medical billing process can be complicated. Follow this step-by-step process to ensure you do it correctly.

In October, CMS announced the launch of a new prior authorization demonstration that would introduce new requirements for select services. This comes just four months after news of an agreement ...

The last stage of prescribing may involve coordination between multiple parties, but it no longer needs to be defined by ...

Strengthen your financial backup. Even with Medicare coverage, unexpected out-of-pocket expenses can pop up. Earn as much as ...

The ACC joined members of the Regulatory Relief Coalition (RRC) this week to celebrate the reintroduction of the Improving Seniors' Timely Access to Care Act. (H.R. 3514/S. 1816) By tackling the ...

AI-driven prior authorizations (PAs) are trusted by many clinicians, promising to streamline processes and reduce administrative burdens. Concerns exist about AI increasing denial rates and lacking ...

As congressional Democrats and Republicans battle over how to avert a potential government shutdown, another issue -- reining in prior authorizations -- remains on both parties' radar screens, ...

Insurance companies often make doctors ask their permission before treating patients. This template can help medical professionals explain how it works. By Ron Lieber Ron Lieber will update this ...

The ASTP/ONC has certified tools that “will enable prescribers to compare drug prices in real time during care encounters,” according to the HHS. The US Department of Health and Human Services (HHS) ...

Forbes contributors publish independent expert analyses and insights. Sai writes about healthcare, innovation and technology. Healthcare data and analytics pioneer Inovalon announced that it will be ...