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.
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Should Doctors Charge Patients for Prior Authorization?

Between one-off charges, administrative fees, and office visit copays, some are trying ...
The Regulatory Review

Regulating Prior Authorization

Recipients of Medicaid frequently face prior authorization hurdles when pursuing medical care or treatment. Medicaid is a ...
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 ...
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 ...
MedPage Today

Prior Authorization Still a 'Pain Point' for Providers

ORLANDO -- The healthcare industry hasn't eliminated the hassles for providers that prior authorization often entails, but they're getting closer, several speakers said here at Healthcare Information ...
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

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 ...