On Aug. 31, the HHS Office of Inspector General released an Advisory Opinion regarding the provision of free pre-authorization services by a hospital for diagnostic imaging services provided by the ...

Aug 24 (Reuters) - Health insurer Cigna Group (CI.N), opens new tab said on Thursday it would remove the use of prior authorization or paperwork required to get approval for insurance coverage for 25% ...

Retrospective denials are generating attention from patients and providers, and for all the wrong reasons. Insurers increasingly require pre-approval, and put the onus on patients to attain prior ...

A spotlight has been put on Medicare Advantage denials for claims and pre-authorizations following the release of an Office of the Inspector General report that found MA plans denied requests that met ...

Prior authorization is a complex, expensive and burdensome process with clinical and financial impacts across the spectrum of care. Built on processes that are mostly manual, even partial automation ...