All of the tech asks from the agency’s new Medicare Advantage (MA) request for information (RFI). To paraphrase the well-known children’s book, 2022 has been a terrible, horrible, no good ...

CMS issued the guidance as a follow-up to its April 2023 final rule that included requirements and clarifications relating to Medicare Advantage coverage criteria for basic benefits, use of prior ...

Sens. Ron Wyden, D-Ore., and Cory Booker, D-N.J., are pressing CMS, major commercial payers and the Federal Trade Commission to explain what they are doing to prevent bias in algorithms used to ...

They also ask CMS whether they require health plans and hospitals to submit data on algorithms they may use. They want answers by Dec. 31. RELATED: Humana first major health plan to join Consumer ...

The Centers for Medicare and Medicaid Services intends to deny reimbursement for the algorithmic analysis underlying multi-analyte tests, its stands has developers of molecular diagnostics and ...

The core algorithm used in the Centers for Medicare and Medicaid Services (CMS) Hospital Star Ratings is flawed. In fact, it can cause a hospital’s overall score to decrease even when it ...

Andrew Simpson, CEO of HeartSciences, said, “The inclusion of AI-ECG for reimbursement by CMS represents a significant milestone for commercialization of our products and further validates the ...

CMS said Medicare uses codes for payment of the underlying clinical tests and wants to continue not separately pricing MAAAs codes. Currently, MAAAs are not listed in tiers 1 or 2 of the CPT codes ...

HeartSciences’ AI-ECG Algorithms Assigned CMS Medicare and Medicaid Reimbursement Published. Nov 13, 2024 9:00am EST. Southlake, ...