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

CMS has released a proposed rule on home health and DME that includes new policies for the next round of its national competitive bidding program. Those provisions include new rate-setting methodologi ...

Patients with chronic respiratory failure who meet usage criteria will have more access to respiratory assist devices.

Home care providers are monitoring a new Centers for Medicare & Medicaid Services Innovation Center model that will add prior ...

The federal government revealed new details Monday about how they recently took down a massive Medicare fraud operation that ...

The Centers for Medicare & Medicaid Services June 30 issued its calendar year 2026 proposed rule for the home health ...

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 ...

The U.S. Centers for Medicare & Medicaid Services (CMS) released its CY 2026 home health final payment rule on Monday. The rule projects a 6.4% ...