CMS is gathering information for and seeking industry feedback on a project that would consolidate the audit and investigation services for Medicare and Medicaid integrity functions, creating new ...

Basys.ai today announced that it has partnered with ePathUSA, the prime contractor for the CMS Artificial Intelligence ...

The Centers for Medicare & Medicaid Services is implementing the Substance Access Beneficiary Engagement Incentive, a new ...

Workload data used by CMS to oversee Zone Program Integrity Contractors has been inaccurate and inconsistent, and this has led to several ZPIC reporting errors and inconsistencies within information ...

The National Partnership for Healthcare and Hospice Innovation (NPHI), representing the nation's leading nonprofit, mission-driven, safety-net, hospice and advanced illness care providers, is calling ...

(The Center Square) – Minnesota is seeking assistance from the Centers for Medicare and Medicaid Services to end its Housing Stabilization Services program, citing “large-scale fraud” as the reason ...

Amber Nigam is CEO and cofounder of basys.ai, a Harvard-based company streamlining prior authorization for health plans with agentic AI. Fraud, waste and abuse (FWA) has historically been addressed at ...