Tag Archives: Prior

Why Do Health Insurers Require Prior Authorization?

Author Lauren Lau Published March 6, 2021 Word count 1,121 Health Insurers and Prior Authorization Like sands through the hourglass, so are the days of prior authorization Medical Utilization Management “This procedure will require prior authorization.” Words that no patient or healthcare provider wants to hear when they are ready to proceed with a doctor-approved… Read More »

Prior Authorization, a Comprehensive Chronicle of The Concept

by Steave Smith Prior Authorization, a Comprehensive Chronicle of The Concept Prior Authorization is, in a nutshell, an ensuring practice by which a revenue cycle management practice checks the insurability of a particular medical service by getting it certified by the relevant payer company. Here’s summarizing the details of the practice. What is prior authorization?… Read More »