CMS is adding prior authorization requirements for certain fee-for-service procedures under traditional Medicare as part of its new Wasteful and Inappropriate Service Reduction model. A total of 17 ...

The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, ...

Some fee-for-service spine procedures in traditional Medicare will have prior authorizations added, according to CMS’ new Wasteful and Inappropriate Service Reduction model. CMS is partnering with AI ...

Across the healthcare landscape, prior authorization is undergoing significant changes aimed at reducing administrative burden and expediting care delivery. Here are three major updates to know: 1.

The Centers for Medicare & Medicaid Services announced a new Innovation Center model aimed at helping ensure people with Original Medicare receive care.

Health care service companies are being asked to join a program that relies on technology to review certain fee-for-service Medicare requests. A program-affiliated medical professional will give the ...

The Centers for Medicare & Medicaid Services (CMS) has unveiled a new initiative aimed at improving prior authorization ...

The Centers for Medicare & Medicaid Services (CMS) announced a new experimental model late last week to streamline some prior ...