AI’s role in getting reimbursement for hospitals

WISeR model is an attempt by CMS to reduce spending in Medicare

CMS says about 25% of the spend is fraudulent or being abused by providers, says Carol Howard, vice president of innovation and adoption at Janus Health.

WISeR model is an attempt by CMS to reduce spending in Medicare

CMS says about 25% of the spend is fraudulent or being abused by providers, says Carol Howard, vice president of innovation and adoption at Janus Health.

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Preparing for the new Medicare prior auth model

Providers in six states face new financial risks and training burdens under mandatory WISeR review, which leverages machine learning to control costs and expedite care. It's going to be "a steep learning curve," says Jeff Ladner, CPO at Onspring.

Preparing for the new Medicare prior auth model

Providers in six states face new financial risks and training burdens under mandatory WISeR review, which leverages machine learning to control costs and expedite care. It's going to be "a steep learning curve," says Jeff Ladner, CPO at Onspring.

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Accurate provider directories are needed for patient access

The work of updating provider directories is the responsibility of payers, and much of it is still being done manually with mistakes incurring heavy penalties, says Megan Schmidt, CEO at Madaket Health.

Accurate provider directories are needed for patient access

The work of updating provider directories is the responsibility of payers, and much of it is still being done manually with mistakes incurring heavy penalties, says Megan Schmidt, CEO at Madaket Health.

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WISeR model is an attempt by CMS to reduce spending in Medicare

Preparing for the new Medicare prior auth model

Accurate provider directories are needed for patient access