Starting Jan. 1, 2026, a six-year pilot program in six states will use prior authorization to review certain services and supplies for original Medicare enrollees. This means that recommended care by ...

Accessing care while dealing with a cancer shouldn’t be hard. Even as a retired RN with the support of a retired physician ...

When you join a Medicare Advantage plan, your care sometimes requires an extra step before treatment begins. This process is called prior authorization, and it helps your insurance plan confirm that a ...

Recently, we put together a template to help medical professionals explain a confusing process. Readers gave us very pointed feedback, so we updated it. By Ron Lieber Two months ago, I shared my tale ...

The American Hospital Association is urging CMS to delay its Medicare prior authorization pilot — the Wasteful and Inappropriate Service Reduction initiative — by at least six months. “This timeframe ...

Key takeaway: Following several years of increased regulation and bipartisan scrutiny around prior authorization, the likelihood of further CMS action in the near term is unclear. Congressional action ...

New UB employees should use this form to request reimbursement for approved expenses when transporting themselves, their families, and household goods and personal effects to their new place of ...

The Anti-Kickback Statute is a United States federal criminal statute that prohibits the exchange (or the promise to exchange) of anything of value for referrals of ...

"Southern Connecticut State University should strengthen internal controls over purchasing-card transactions." ...

An investigation into “deleted” emails of a Johnson County Council member was revealed in dramatic fashion on Monday night.

Operator: Good morning, everyone. And welcome to the Abeona Therapeutics third quarter 2025 conference call. At this time, ...

Immigrant-issued licenses to be voided after discovery of expiration dates beyond period of authorized U.S. residency for ...