Check out attorney Knicole Emanuel’s recent blog, “Defending Against Medicare and Medicaid Audits: A Guide for Healthcare Providers.” She notes that, “Recent statistics show that CMS, through its contractors, conducted over 300,000 audits in recent years.”
States Try to Limit the Use of AI in Prior Authorization
Read the complete article for more details on what individual states are doing to push back on the use of AI in Prior Authorization.