The first day of the criminal trial for a former employee accused of stealing more than $1.7 million from the South Dakota ...

This commentary explores the current state, challenges, and potential of artificial intelligence (AI) in health care revenue cycle management, emphasizing collaboration, data standardization, and ...

Rep. Mark Green, MD, a Republican from Tennessee, reintroduced a bill to Congress that would reform prior authorization requirements, The Hill reported March 27. “As a survivor of both colon and ...

The board would require that board-certified physicians make determinations about whether care is medically necessary.

Health plans often limit physical therapy to 20 or 30 sessions, even for people who may need months of treatment, multiple ...

Mari Villar was slammed by a car that jumped the curb, breaking her legs and collapsing a lung. Amy Paulo was in pain from a ...

Experts discuss effective strategies for navigating the prior authorization process to ensure timely access to third-line therapies for metastatic colorectal cancer (mCRC) and share any success ...

In 2023, Sheldon Ekirch was diagnosed with small fiber neuropathy, which makes her limbs and muscles feel as if they’re on ...

Members the US House of Representatives are calling on the CMS take action to address growing concerns with the Medicare Advantage plans.

In a survey last year by the American Medical Association, 93% of doctors said that insurers’ prior authorization practices ...