What Is Prior Authorization and How Does It Work in 2025: Medical Billers and Providers
Quick Summary Prior authorization (PA) is the insurer’s review process that determines whether a medical service, drug, or procedure is medically necessary before coverage is approved. In 2025, CMS-mandated digital PA systems are transforming how providers and billers handle requests — but manual delays, denials, and payer variability still create major bottlenecks. Understanding each step … Read more