Add Yahoo as a preferred source to see more of our stories on Google. Two pharmacy employees work behind the counter in a pharmacy, one on the phone and looking at a computer and the other writes on a ...

Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's ...

Obtaining prior authorization for prescription medications is a time-consuming process for prescribers, patients and pharmacists that currently requires phone calls, faxes and hard-copy request forms.

HHS is proposing to adopt certain HL7 FHIR standards and implement specifications for transactions related to prior ...

With CMS expanding its infrastructure for pre-payment review in traditional Medicare, here are five things practice leaders ...

When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker for 40 years, Chestnut was at high risk for lung cancer. A specialist ...

Each prior auth transaction costs practices between $20 and $30 ...

Have you ever walked into the pharmacy and been told that your prescription requires a prior authorization? But your healthcare professional prescribed something for you, and you brought in your ...