Submit an appeal, even if you’re worried you’ll lose. Yaver said that, based on the research set to be published in her book, Coverage Denied: How Health Insurers Drive Inequality in the United States ...

These health care hurdles can stand in the way of getting treatment your doctor says you need. Here's what to know about how ...

Prior authorization requires doctors to get approval from a patient’s insurance company before they’ll cover a procedure, prescription or a service such as an imaging exam. Companies use the process ...

Specify everything you need, do it as if you’re talking to your medical assistant,’ one dermatologist recommends.

Researcher found 80% of claim denials were ultimately reversed, reinforcing long-standing concerns raised by AAOS and patient advocates ...

Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...

Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers. This shift is causing significant ...

Driving orthopedic outcomes sustainability through AI-enabled prior authorizations and physician-owned surgery centers improves care and financial control.

A new survey from the American Medical Association shows the burden of seeking prior authorization. Around 1,000 physicians responded to the survey in December 2016. Here are six things to know: 1.

Prior authorization is “wreaking havoc” on patient outcomes, physician burnout and productivity, a recent American Medical Association survey found. The survey was conducted in December and asked ...