Most non-emergency care at non-VA facilities requires the VA's approval before you schedule. This includes routine appointments, specialist consultations, procedures and diagnostic tests that aren't ...

A CMS pilot program will require providers in six states to submit select Medicare services for AI-enabled prior authorization or post-service medical review.

Medicare in January will begin AI-powered pre-treatment reviews for select health services in a major policy change that's aimed at rooting out unnecessary care — but alarming providers. Why it ...

More than 50 major insurers have pledged to streamline prior authorization starting in 2026, but providers remain cautiously optimistic and skeptical that the changes will truly reduce burden or ...

Transcure announced the introduction of a structured lineup of AI medical billing agents designed to address distinct functions across the revenue cycle management process. The announcement outlines a ...