Nearly all those who have Medicare Advantage plans must deal with prior authorization. Now more prior authorization issues are appearing with Part D prescription drugs.

CTSO READ THE FULL CTSO RESEARCH REPORT Regulatory Update on DrugSorb-ATR On April 25, 2025, the FDA issued a denial letter regarding CytoSorbents’ (NASDAQ:CTSO) De Novo Request for DrugSorb-ATR ...

We live in a complicated world and try to find ways to simplify it. During this past legislative session, key legislation ...

Jurisdiction: Supreme Court of New York, Appellate Division, First Department - The Supreme Court of New York, New York County, on March 13, ...

Physicians describe common prior authorization challenges when treating patients for obesity and share strategies to overcome ...

Rep. Dr. Greg Murphy (R-N.C.) hopes his personal ordeal with prior authorizations will help inspire Congress to act.

Prior authorization (PA ... include information about this in your appeal letter. Plan exclusion: Some health insurance companies do not cover weight loss medication. In this instance, you ...

The new law puts deadlines on prior authorization decisions and puts denials in the hands of doctors, not insurance analysts. North Dakota Gov. Kelly Armstrong signed Senate Bill 2280 into law on ...

is pointing to generative artificial intelligence as a potential way for providers to save money on prior authorization, appeals of claims denials and other revenue cycle management tasks.

In a case arising from a request for insurance coverage for a vaginoplasty recommended by a patient’s healthcare team, the Ontario Court of Appeal upheld the Divisional Court’s finding that the ...

Submitting a financial aid appeal letter won’t guarantee that you’ll get approved for more aid, but it could increase your chances. It may be wise to submit a letter if another school has ...

According to the New York Times, a letter demanding that Harvard University dismantle DEI programs and screen international students for ideology was reportedly unauthorized. The letter ...