prior authorization

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.

Medicare Advantage is exacerbating providers' financial and operational problems, making the current path almost untenable, say hospital CEOs.

Providers' frustration with the private program is palpable, but there are actions they can take to alleviate its consequences.

As claim denials continue to rise, state governments start to take notice while revenue cycle leaders find new ways to...

All eyes on prior authorization and scheduling.

Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back.

While progress at the federal level is slow, state legislatures are passing bills aimed at improving the prior authorizations process...