Health insurers are increasingly denying paying for patient care. A growing crop of startups think AI can help.

Hurley was all too familiar with the administrative burden that prior authorization places on doctors’ offices, often ...

Although that 90% figure may sound like an easy bar to clear, only 3% of the state's healthcare providers have so far ...

The Department of Health and Human Services, Office of Inspector General (“OIG”) recently released a favorable advisory opinion, OIG Advisory ...

The physician group is asking the Labor Department to apply Medicare Advantage plan-type rules, which as limits on repeat ...

The nationwide rollout will take effect on December 1, 2024.According to the STA, digital invoices are classified as a type of “electronic invoice” under the Regulations on the Administration of ...

A popular bipartisan bill to curb the use of prior authorization in Medicare Advantage has everything it needs to pass Congress this year, except that it probably won't, and lawmakers who would ...

This command sets the session user identifier and the current user identifier of the current SQL session to be user_name. The user name can be written as either an identifier or a string literal.

and Josh Brecheen (Okla.), are asking the leaders of the House and Senate Armed Services committees to not include provisions in the annual defense authorization bill that expand access to in ...

They will fight on the bill topped by Natasha Jonas' IBF and WBC welterweight title unification against Ivana Habazin. If Price and Jonas both emerge victorious from their respective fights ...

“Prior authorization, once granted, should be sufficient to guarantee payment,” AMA trustee Dr. Marilyn Heine said in a news release Wednesday. “It is unacceptable that a health plan gives a ...