CMS recently announced the suspension of prior authorization requirements for specified orthoses prescribed and furnished urgently or under special circumstances. Prior authorization requirements for ...

Prior authorization — in which a patient needs approval from the health plan before proceeding with a medical service — has long created a rift between payers and providers. It has gotten such a bad ...

Add Yahoo as a preferred source to see more of our stories on Google. OKLAHOMA CITY (KFOR) — The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for ...

CMS is launching a six-year pilot of the WISeR Model, starting January 2026 in Arizona, New Jersey, Ohio, Oklahoma, Texas and Washington, which will use AI and human review to expand prior ...

Nine in 10 polled medical practices say their regulatory burden has increased over the past year with prior authorization, audits and appeals, the Medicare Quality Payment Program (QPP) and ...

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor ...

Of the many tools that payers use to control costs, prior authorization ranks high on the list of what providers and patients find particularly vexing. However, Health Care Service Corporation hopes ...

Massachusetts regulators would eliminate many prior authorization rules, speed urgent approvals and form a working group to ...

Traditional Medicare plan holders have typically not had to wait for prior authorization before receiving medical treatment. Until now. The Centers for Medicare & Medicaid Services (CMS) recently ...