Why AI? Fewer Claim Denials is a Big Reason
The most successful implementations treat AI as a layer, not a replacement. It doesn’t require ripping out existing systems or reducing headcount.
CRUSH Initiative: Helpful Insights
The Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH) initiative aims to enhance integrity and compliance among HME providers.
Centralized Intake and “Hub and Spoke”
DME suppliers have no choice but to reduce expenses and improve efficiencies. This article discusses two approaches.
CMS Prior Authorization Program Updates
CMS published its annual Notice, updating the Master List of DMEPOS items potentially subject to prior authorization requirements and the “Required” Prior Authorization list.
The Rising Tide of Automation and Artificial Intelligence
One theme stood out clearly at Medtrade; automation and AI are moving from curiosity and interest to operational priority.
Big Beautiful Bill: Impact on Medicaid and DME Suppliers
With a considerable burden of risk for erroneous payments shifted from HHS to state Medicaid programs, experts anticipate increased scrutiny of claims submissions.