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.

As the demand for mental health services continues to grow in 2025, so does the complexity of billing and reimbursement. Unfortunately, mental health providers often face a higher rate of insurance ...

Carlos Santana is reportedly on the mend after a health scare. The legendary musician experienced a medical emergency prior to a performance in Texas on Tuesday. Michael Vrionis, president of ...

If you have insurance, consider contacting your insurer for prior authorization for Ozempic, as Sesame Care will contact them directly around billing ... the company’s medical and support ...

More information here on ways to reduce the charges. As I just recently reported, another nasty surprise with medical billing happens when your insurer denies your claim, including denials that ...

The American Medical Association describes prior authorization as a "health plan ... most are limited to certain billing codes and procedures. The Ohio State Medical Association wants it to ...

Under the bill, prior authorization reviews that concern certain specialties have to be reviewed by a physician in the same specialty who is certified by the American Board of Medical Specialties ...

“This bill actually starts to move the needle when it comes to prior authorization requests,” Klimesh says. “All too often myself and all my colleagues in this chamber hear from our local ...