Beginning Jan. 1, 2026, 17 medical procedures will require prior authorization for patients under the traditional Medicare ...
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Medical billing process step by step
The medical billing process can be complicated. Follow this step-by-step process to ensure you do it correctly.
In October, CMS announced the launch of a new prior authorization demonstration that would introduce new requirements for select services. This comes just four months after news of an agreement ...
The last stage of prescribing may involve coordination between multiple parties, but it no longer needs to be defined by ...
The Workgroup for Electronic Data Interchange (WEDI) has released the results of its most recent survey assessing industry readiness to meet the requirements of the Centers for Medicare and Medicaid ...
The National Council of Insurance Legislators (NCOIL) has adopted the Prior Authorization Reform Model Act at its 2025 Annual National Meeting in Atlanta, Georgia. The Model, sponsored by Mississippi ...
Health systems have to take responsibility for the broken prior authorization process and stop deferring action to payers, according to Jeff Balser, CEO of Vanderbilt University Medical Center. “A lot ...
New Brunswick, N.J.-based St. Peter’s Healthcare System CFO Garrick Stoldt said his health system is feeling ready for the new traditional Medicare prior authorization pilot that is set to begin Jan.
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