Feds reprimand private company using AI to review WA Medicare claims over delayed processing
Feds reprimand private company using AI to review WA Medicare claims over delayed processing
Feds reprimand private company using AI to review WA Medicare claims over delayed processing
The decision follows reports of weeks-long waits for Medicare claims reviews and criticism by doctors and hospitals about technical problems submitting claims, as well as a lack of responsiveness from...
The Arizona-based company using artificial intelligence to review certain Medicare requests in Washington state under a controversial six-year pilot program has been found out of compliance by the federal government.
The Centers for Medicare and Medicaid Services announced Monday that Virtix Health was required to submit a Corrective Action Plan because it was not responding quickly enough to Medicare claims for procedures covered by the Wasteful and Inappropriate Service Reduction (WISeR) program, which went into effect in Washington and five other states Jan. 1.