{"id":26269,"date":"2026-07-15T07:55:11","date_gmt":"2026-07-15T11:55:11","guid":{"rendered":"https:\/\/medicarereport.org\/?p=26269"},"modified":"2026-07-15T07:55:12","modified_gmt":"2026-07-15T11:55:12","slug":"cms-orders-corrective-action-plan-for-ai-vendor-in-medicare-prior-authorization-pilot","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=26269","title":{"rendered":"CMS orders corrective action plan for AI vendor in Medicare prior authorization pilot"},"content":{"rendered":"\n<p>(By: Andrew Cass for <em>Becker&#8217;s Hospital Review<\/em>)<\/p>\n\n\n\n<p>CMS is requiring one of the companies it hired to use artificial intelligence to review prior authorization requests under a traditional Medicare pilot program to submit a corrective action plan because it allegedly was not responding to claims quickly enough, NPR affiliate KUOW reported June 25.  Continue reading <a href=\"https:\/\/www.beckerspayer.com\/payer\/cms-orders-corrective-action-plan-for-ai-vendor-in-medicare-prior-authorization-pilot\/\" data-type=\"link\" data-id=\"https:\/\/www.beckerspayer.com\/payer\/cms-orders-corrective-action-plan-for-ai-vendor-in-medicare-prior-authorization-pilot\/\">here&#8230;<\/a><\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>Notice:<\/strong>\u00a0The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>(By: Andrew Cass for Becker&#8217;s Hospital Review) CMS is requiring one of the companies it hired to use artificial intelligence<\/p>\n","protected":false},"author":4,"featured_media":10228,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23,32,6,846],"tags":[153,80,238,61,1945],"class_list":["post-26269","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artificial-intelligence","category-cms","category-medicare-general","category-prior-authorization","tag-ai","tag-cms","tag-healthcare-finance","tag-medicare","tag-medicare-prior-authorization-pilot"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26269","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=26269"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26269\/revisions"}],"predecessor-version":[{"id":26270,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/26269\/revisions\/26270"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/media\/10228"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26269"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26269"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26269"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}