The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional ...

TUESDAY, June 17, 2025 (HealthDay News) -- Neither delivery of electronic nudge letters nor letters to general practice increase uptake of guideline-directed medical therapy (GDMT) among patients ...

Neither delivery of electronic nudge letters nor letters to general practice increase uptake of guideline-directed medical therapy (GDMT) among patients with chronic kidney disease (CKD ...

With the addition of 12.5 mg and 15 mg vials, all approved doses of Zepbound will be available in single-dose vials for $499/month or less, regardless of insurance status, under Zepbound Self Pay ...

Get the denial letter in writing. Request a peer-to-peer review. This is when the doctor speaks directly to the insurer to explain the medical necessity of the procedure. Gather documentation.

However, the organization updated its ruling in 2014 after considering newer studies on the medical necessity of gender affirmation services for transgender individuals who chose to receive them.

Part B covers 80% of outpatient therapy costs up to $2,410, at which point a doctor must confirm the medical necessity of continuing therapy.

Optimum physical health for paramilitary employment necessity not preference: Delhi HC PTI | May 16, 2025 06:26 PM IST Read this news in brief form ...

Recommended surgery and adjuvant therapy followed per local guidelines or institutional standards. The necessity of additional chemotherapy for patients with pCR was judged by investigators. A 5-year ...

All went to physical therapy, but their health insurers stopped paying before any could walk without help. Paulo spent nearly $1,500 out of her own pocket for more sessions.

While that law required insurers to cover rehab and barred them from setting spending restrictions on a patient’s medical care, it did not prohibit establishing a maximum number of therapy ...