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 ...
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 ...
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 ...
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 ...
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