The Center for Medicare and Medicaid Innovation (CMS) has officially announced which producers will require prior ...
A six-state pilot program will target “wasteful care” under Medicare, Centers for Medicare & Medicaid Services says.
Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...
In October, CMS announced the launch of a new prior authorization demonstration that would introduce new requirements for select services. This comes just four months after news of an agreement ...
The AHA Oct. 23 recommended changes to the CMS' Wasteful and Inappropriate Services Reduction model to address multiple concerns. The model is designed to use technology-enabled prior authorization to ...
Medicare will significantly expand the use of prior authorization (PA) and post-service review for select services beginning next year, and private contractors will be permitted to use artificial ...
Older men play cards in a park in New York City's Chinatown in 2024. Medicare, the public health insurance for older Americans, is piloting a new prior authorization program powered by artificial ...
The Trump Administration is bringing prior authorizations (PAs), the mandatory preapproval before insurance covers health care services, to Traditional Medicare. The government plans on using ...
SunKnowledge today is among the best-known names in business process outsourcing for all kinds of prior authorization challenges and struggles. NEW YORK, NY, UNITED ...
Some Medicare recipients are set to experience a new “prior authorization” measure as the Centers for Medicare & Medicaid Services (CMS) trials its much-discussed “Wasteful and Inappropriate Service ...