The Massachusetts lawsuit against United Healthcare is one more example of scrutiny of action by Medicare Advantage companies.

The central issue is not whether an order originates from a telehealth encounter, but whether the underlying clinical interaction and documentation meet Medicare’s medical necessity requirements and comply with federal law.

The most successful providers are not using AI to replace their teams, but instead using AI to amplify the team’s capabilities.

Medtrade exhibitor ACU-Serve has appointed Natasha Baria Mehta as its new president.

The most successful implementations treat AI as a layer, not a replacement. It doesn’t require ripping out existing systems or reducing headcount.

The Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH) initiative aims to enhance integrity and compliance among HME providers.