In accordance with mandates outlined in the Patient Protection and Affordable Care Act, the Centers for Medicare and Medicaid Services has released its plan to upgrade its current computer and data ...
New CMS program, WISeR, will leverage third parties to screen prior authorization requests using technologically enhanced processes. On July 1, 2025, the Centers for Medicare & Medicaid Services ("CMS ...
Judith Sullivan was recovering from major surgery at a Connecticut nursing home in March when she got surprising news from her Medicare Advantage plan: It would no longer pay for her care because she ...
Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial intelligence tools. The Wasteful and Inappropriate Service Reduction (WISeR) model is ...
The Centers for Medicare & Medicaid Services has awarded National Government Services a potential $310 million contract to continue helping CMS manage contact center calls from Medicare beneficiaries ...
A new Medicare pilot program will require prior authorization for certain medical procedures, using AI to approve or deny coverage A new program from the Centers for Medicare and Medicaid Services ...
Yet another glitch in Medicare system computers is starting to grab the attention of lawmakers. The latest problem involves Medicare taking extra money, sometimes for months in a row from ...
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