Category: Prior Authorization & Compliance

What’s actually changing with prior authorization right now?

If your front office feels like the prior authorization rules keep shifting under your feet, you’re not imagining it. CMS finalized a rule (CMS-0057-F) that phases in new prior authorization requirements over 2026 and 2027, and the changes touch nearly every part of the process: how fast payers must respond, what they have to tell […]

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