While it was designed to ensure appropriate and cost-effective use of medical treatment and medications, prior authorization has become a tool used to deny necessary care and shift costs to ...

The Iowa legislature has unanimously voted to set deadlines for insurance companies being asked to authorize treatment, prescriptions or other health care services. Senator Mike Klimesh of Spillville ...

Prior authorization is one of the few tools to keep health care costs in check, ensuring that treatments are medically ...

If you or someone you know has experienced the frustration of a delayed medical procedure or a denied prescription due to prior authorization, you’re not alone. That’s why Indiana lawmakers ...

According to federal regulations, hospitals must provide a person with a MOON letter if they observe them as an outpatient for more than 24 hours, which can affect medical costs.

The Centers for Medicare & Medicaid Services today released a notice seeking public comment on the collection of information ...

It was interesting to read staunch nationalist Stan Grodynski responding to Robert Scott's (Letters, 10 April), who had pointed out that “throughout history nationalism has always led to trouble ...

The agency also said for emergency cases, treatment may commence without prior authorization. ” However, authorization codes must be obtained within 48 hours of beginning care, as stipulated in ...

As an emergency medicine physician at ECU Health, I witness firsthand the devastating consequences of unnecessary prior ...