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 ...
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 ...
The CMS created ACCESS to address barriers to care stemming from Medicare’s fee-for-service payment model. Rather than pay for specific services, Medicare will make recurring payments to healthcare ...
A new Medicare pilot program will require prior authorization for certain medical procedures, using AI to approve or deny coverage A new Medicare pilot program will require prior authorization for ...
Kim Brandt, CMS’s chief operating officer and deputy administrator, said AI tools are helping the agency stop money from going out the door to fraudsters.
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