Administrative tasks burden today's physicians more than ever before. Obtaining prior authorizations for tests and treatments from payers is one of the leading productivity zappers, an activity which ...

Recondo Technology, a revenue cycle management firm, on Monday launched a new product to automate prior authorizations, effectively eliminating the need for healthcare providers to employ large teams ...

My colleagues and I recently tabulated how long psychiatric patients who were deemed in need of inpatient admission—overwhelmingly because of suicidal thoughts or plans—stayed in the emergency ...

Obtaining prior authorization for a medical test or procedure can be one of the most frustrating and time-consuming aspects of health care. Now, the Trump administration is looking to streamline the ...

Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...

When it comes to practice-management headaches, the hassle involved in obtaining prior authorizations from insurers often leads the list of complaints. And while many elements of fee-for-service ...

Recipients of Medicaid frequently face prior authorization hurdles when pursuing medical care or treatment. Medicaid is a joint federal–state public health insurance program that provides healthcare ...

Surveyed medical groups reveal burdens have increased in the past 12 months, resulting in delays or denials for necessary care. Despite scrutiny of prior authorization practices in Medicare Advantage ...

Here’s how three ASC leaders are managing prior authorization: Note: Responses were lightly edited for style. Girard Bullaro, administrator at Wellness ASC (McKinney, Texas): As a new ASC and ...

While commercial insurers often use prior authorization as a way to control costs, it does the opposite for patients undergoing total hip arthroplasty, according to a study presented at the 2025 ...

Remember that physician who wanted to develop a Current Procedural Terminology (CPT) code for prior authorizations? It hasn't happened yet, but he hasn't given up on it, either. In May, Alex ...

Prior authorization, a process that requires physicians to obtain approval from health care insurers before certain ...