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.

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

As for marketing, the CMS said it’s denied more than 1,500 television ads for being misleading since 2023, but regulators continue to get complaints from consumers about marketing for MA plans.

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 ...