prior authorization
publication date
Revenue Cycle
Yet Another Payer Backtracks on Mandate Amid Provider Pushback
UHC is pulling back on its controversial prior authorization mandate.
Payer
UHC's Alternative Proposal to Prior Authorization Policy Rejected by GI Docs
The two sides remain apart as the payer's prior authorization mandate is set to begin on June 1.
Payer
Buprenorphine Battles Reveal Mixed Results
Pushback on DEA regulations is measured by medication coverage trends that are improving but still lag in many areas.
Revenue Cycle
GI Docs Rail Against UHC's Looming Prior Authorization Mandate
GI docs say the payer is using AI to move large volumes of services through prior authorization.
Revenue Cycle
Are Commercial Payers to Blame for Majority of Rev Cycle Claim Denials, Payment Delays?
One study says yes.
Revenue Cycle
Leaders Agree, The Revenue Cycle Needs More Denials Management Expertise
Hundreds of leaders were asked which rev cycle tasks require the most subject matter expertise.