If a person’s Medicare plan requires prior authorization, their doctor will typically take responsibility for submitting the request. A person may need to complete certain forms beforehand.

Nearly all those who have Medicare Advantage plans must deal with prior authorization. Now more prior authorization issues ...

Rep. Dr. Greg Murphy (R-N.C.) hopes his personal ordeal with prior authorizations will help inspire Congress to act.

The policy, CMS-1717-FC from the federal government, requires that patients with Medicare receive prior authorization to undergo these surgical procedures at hospital outpatient surgery departments.

CMS finalized a key provision that holds Medicare Advantage insurers responsible for paying inpatient hospital admissions claims previously approved through the prior authorization process.

A bipartisan group of physician legislators has introduced legislation in the House of Representatives to reform payer use of prior authorization ... would apply to all Medicare Administrative ...

Physicians aren’t the only ones who see prior authorization (PA) practices as a significant problem, but John Brooks, deputy administrator at CMS, told a med tech audience that a renewed focus on ...

Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts ...