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

CMS has unveiled the Wasteful and Inappropriate Service Reduction model, a new Innovation Center initiative that will add prior authorization for some traditional fee-for-service Medicare services.

T he CMS-1763 form is a critical document for individuals looking to cancel their Medicare coverage. Whether it's Part A, ...

Finally, submit the CMS-40B form to the Social Security Administration. You can do this online via SSA.gov, by mailing it to ...

The Bill. CNSs and other providers of physician services bill Medicare Part B using a CMS-1500 form. CMS-1500 forms are available for purchase from local business forms supply companies.

The Biden administration is removing two forms providers need to fill out to get reimbursement for certain durable medical equipment in an effort to ease administrative burden. | In 2023, CMS will ...

CMS projects $750 million in savings from ending the four models early, but stopped short of saying where the savings would occur. The Center for Medicare and Medicaid Innovation (CMMI) is planning on ...

He called requirements “very similar” to what’s required today in sections 5 and 6 of the provider enrollment form, which, in effect, are being folded into requirements in the new CMS-855A form.

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 ...