The Prior Authorization Arms Race Needs a Referee, and CMS Just Became It
As payers and providers both deploy AI against each other in prior authorization, CMS's interoperability mandate is emerging as the only shared check on escalation.
Revenue Cycle AI Needs an Audit Trail, Not Just a Dashboard
As hospitals deploy AI to fight rising denials, CMS's expanded integrity authority means those same models must withstand audit scrutiny, not just prove ROI.
