AI Software Nets a Medicare Win, But CMS Remains Cautious in the Space

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ARTICLE SUMMARY:’s ContaCT system is the first AI software to nab a Medicare inpatient new-technology add-on payment, but it took some convincing of CMS and the agency is not making any promises about its approach to future AI offerings.

On its way to awarding the first new-technology add-on payment (NTAP) to an artificial intelligence software tool, CMS almost blocked AI as a category from eligibility to the coveted payment program. The agency’s change of heart in its final decision is positive for future AI reimbursement prospects, but CMS made sure to signal that it still had a lot of lingering questions about AI and its proper place in the Medicare scheme.

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