The CMS program known as the Wasteful and Inappropriate Service Reduction (WISeR) model requires PA for 17 services, but Carol Howard, VP of innovation and adoption at Janus Health, says she can see ...
MedPage Today on MSN
Lawmakers Aim to Block Expansion of Prior Auth in Traditional Medicare
Lawmakers on Thursday explored the merits of a bill that would block the Centers for Medicare & Medicaid Services (CMS) from ...
Woman's World on MSN
Medicare is using AI to approve care — would you trust it with yours?
The Center for Medicare and Medicaid Innovation (CMS) has officially announced which producers will require prior ...
The Centers for Medicare and Medicaid Services says 25% of spending is fraudulent or being abused by providers. Carol Howard, ...
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 ...
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 ...
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 ...
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 ...
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 ...
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