prior authorization

Inconsistent payer rules are a major pain point for revenue cycles with direct clinical and financial impact on patients, according...

Trump administration officials applauded the insurance industry for its willingness to change, but also acknowledged limitations of the agreement.

More than 40 payers have voluntarily committed to significant prior authorization reforms, but will this time be any different?

At HFMA, themes of payer collaboration, operational leadership, and smarter investments are dominating the conversation.

See what revenue cycle leaders had to say during the April 2025 Revenue Cycle NOW Online Summit, a 2-part webinar...

Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those...

Before selecting a vendor to aid in prior authorization management, health systems should conduct their own "needs assesment," according to...

Revenue cycle leaders today are tasked with improving patient engagement, while they're facing frustrating prior authorization requirements that lead to...

The House of Representatives is considering legislation that would reform the way payers use prior authorization. Which payers would the...

A bipartisan group of physician legislators has introduced legislation in the House of Representatives to reform payer use of prior...

Is AI helping or hurting the payer-provider relationship?

The growing tension between payers and providers is no secret. And it's forcing CFOs to take action.