Traditional Medicare will face greater use of prior authorizations under a pilot program by the Centers for Medicare & Medicaid Services, potentially eroding one area that enrollees like about their ...

The following article is written by Azadeh Farahmand, CEO and founder of GHN-Online. The migration to 5010 is a major effort for healthcare industry stakeholders and will require significant testing ...

In July, the Centers for Medicare and Medicaid Services (CMS) announced a six-year test of more aggressive prior authorization in Medicare’s traditional fee-for-service (FFS) program. CMS will conduct ...

CMS has announced end-to-end testing for ICD-10 will take place July 21-25. The testing will allow providers to submit ICD-10 test claims to CMS and receive a Remittance Advice notice that explains ...

Increasing prior authorizations would 'undercut one of the immense benefits of traditional Medicare' Traditional Medicare currently faces fewer prior authorizations than Medicare Advantage, but that ...